NPIMap

Individual provider Active NPI

Joan Elizabeth Brunson, M.D.

  • Family Medicine Physician
  • Alexandria, LA
National Provider Identifier
1184616112
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
017125 Issued in LA
Practice address
425 Scott St
Alexandria, LA 71301-8131
Phone
(318) 445-7355
Fax
(318) 487-8035
NPI assigned
Aug 16, 2005
Last updated
Jul 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 017125 LA Primary
Addiction Medicine (Family Medicine) Physician 207QA0401X 61-17296 LA

Addresses

Primary practice location

425 Scott St
Alexandria, LA 71301-8131

Mailing address

425 Scott St
Alexandria, LA 71301-8131
Phone (318) 445-7355

Other identifiers 3

IdentifierTypeStateIssuer
1337820MedicaidLA
720477182OtherVARIOUS INSURANCES
080169582OtherRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100614000710 LA Practitioner - Family Practice 7618020371 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in Shreveport, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brian Clinic, L.L.P.Group PAC ID 7315956869, 5 clinicians
Lake Professionals LLCGroup PAC ID 8224494166, 4 clinicians

Practice addresses (Care Compare)

425 Scott St
Alexandria, LA 71301-8131
Phone (318) 445-7355

5505 Shreveport Hwy
Pineville, LA 71360-3533
Phone (337) 381-0956

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17125LAMDClinical Social Worker
017125LAMDFamily Medicine Physician
61-17296LAMDAddiction Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brian Clinic, L.L.P. Family Medicine CurrentSince May 1, 2001 Accepting new patients
Central la Human Services District Current Accepting new patients
Crossroads Regional Hospital, LLC CurrentSince Jun 9, 2014 Accepting new patients
Central la Human Services District CurrentSince Nov 30, 2016 Accepting new patients
Lake Professionals LLC CurrentSince Feb 4, 2023 Accepting new patients
Curana Health of Louisiana LLC Family Medicine CurrentSince Jul 31, 2017 Accepting new patients
Central la Human Services District CurrentSince Nov 30, 2016 Accepting new patients
Bayou Healthcare, LLC Past Accepting new patients
Legacy Gardens at Jena LLC Past Accepting new patients
Jena Nursing and Rehabilitation Center LLC Past Accepting new patients
Rapides Healthcare System, L.L.C. Past Accepting new patients
Pecan Grove Training Center Past Accepting new patients
Lake Wellness Center, LLC PastSince Nov 10, 2019 Accepting new patients

Locations

425 Scott St
Alexandria, LA 71301
Phone (318) 442-5637

44 Versailles Blvd
Alexandria, LA 71303
Phone (318) 441-0068

5411 Coliseum Blvd
Alexandria, LA 71303
Phone (318) 484-6850

2900 Westfork Dr
Ste 401
Baton Rouge, LA 70827
Phone (225) 953-0895

2801 Fourth St
Ste 5
Jonesville, LA 71343
Phone (318) 339-8553

501 W Saint Mary Blvd
Ste 308
Lafayette, LA 70506
Phone (318) 983-0010

105 Belview Rd
Leesville, LA 71446
Phone (337) 238-6431

694 Government St
Marksville, LA 71351
Phone (318) 253-9638

5505 Shreveport Hwy
Pineville, LA 71360
Phone (318) 441-5900

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 30

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1184616112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 SCOTT ST",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713018131",
            "telephone_number": "318-445-7355",
            "fax_number": "318-487-8035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 SCOTT ST",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713018131",
            "telephone_number": "318-445-7355",
            "fax_number": "318-487-8035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNSON",
        "first_name": "JOAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-16",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "017125",
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "LA",
            "license": "61-17296",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1337820",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VARIOUS INSURANCES",
            "identifier": "720477182",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080169582",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.