Individual provider Active NPI

Brandi Nichole Gilmore, M.D.

  • Child & Adolescent Psychiatry Physician
  • Raceland, LA
National Provider Identifier
1164627824
Registry record updated Dec 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
MD.201388 Issued in LA
Practice address
4608 Highway 1
Raceland, LA 70394-2623
Phone
(985) 537-2273
NPI assigned
Jun 20, 2007
Last updated
Dec 6, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X MD.201388 LA Primary

Addresses

Primary practice location

4608 Highway 1
Raceland, LA 70394-2623

Mailing address

1514 Jefferson Highway
New Orleans, LA 70121-2429
Phone (504) 842-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100330001382 LA Practitioner - Psychiatry 5496881328 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Louisiana State University School of Medicine in New Orleans, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Priority Health CareGroup PAC ID 5395972988, 6 clinicians

Practice addresses (Care Compare)

12 Westbank Expy
Gretna, LA 70053-3647
Phone (504) 509-4800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Jul 1, 2010 Accepting new patients
Priority Health Care CurrentSince Jan 7, 2015 Accepting new patients
Ochsner Clinic LLC CurrentSince Jul 1, 2010 Accepting new patients
Priority Health Care Current Accepting new patients
Pathways Behavioral Center, LLC Psychiatry Past Accepting new patients
Priority Health Care Past Accepting new patients

Locations

12 Westbank Expy
Gretna, LA 70053
Phone (504) 368-3100

12A Westbank Expy
Ste 100
Gretna, LA 70053
Phone (504) 361-0234

12A Westbank Expy
Ste 101
Gretna, LA 70053
Phone (504) 509-5437

4700 Wichers Dr
#304305
Marrero, LA 70072
Phone (504) 309-3262

4700 Wichers Dr
Ste 304
Marrero, LA 70072
Phone (504) 309-3262

4700 Wichers Dr
Ste 304305
Marrero, LA 70072
Phone (504) 309-3262

4700 Wichers Dr
Ste 307
Marrero, LA 70072
Phone (504) 309-3262

1514 Jefferson Hwy
New Orleans, LA 70121

4608 Highway 1
Raceland, LA 70394
Phone (504) 537-6841

Interoperability endpoints

  • Direct secure messaging: brandi.gilmore.1@31421.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291593600000",
    "number": "1164627824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HIGHWAY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701212429",
            "telephone_number": "504-842-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4608 HIGHWAY 1",
            "city": "RACELAND",
            "state": "LA",
            "postal_code": "703942623",
            "telephone_number": "985-537-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILMORE",
        "first_name": "BRANDI",
        "middle_name": "NICHOLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-20",
        "last_updated": "2010-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "LA",
            "license": "MD.201388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raceland, LA

Sources for this page

Verify at the official NPI Registry.