Individual provider Active NPI

Brandon Luis Perez, M.D.

  • Obstetrics & Gynecology Physician
  • Marrero, LA
National Provider Identifier
1184890980
Registry record updated Jun 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
006322283 Issued in LA
Practice address
1111 Medical Center Blvd
Suite 250 South
Marrero, LA 70072-3151
Phone
(504) 349-6945
Fax
(504) 349-6949
NPI assigned
May 1, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 006322283 LA Primary

Addresses

Primary practice location

1111 Medical Center Blvd
Suite 250 South
Marrero, LA 70072-3151

Mailing address

3600 Prytania St
Ste 35
New Orleans, LA 70115-3678
Phone (504) 897-8412

Other identifiers 1

IdentifierTypeStateIssuer
1215791MedicaidLA

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
I20100127000375 LA Practitioner - Obstetrics/Gynecology 8224170337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crescent City Physicians IncGroup PAC ID 2769370543, 158 clinicians

Practice addresses (Care Compare)

2121 Ridgelake Dr
FL 3
Metairie, LA 70001-2080
Phone (504) 325-2700

Hospital & facility affiliations

  • Touro Infirmary Hospital, New Orleans, LA, CCN 190046
  • West Jefferson Medical Center Hospital, Marrero, LA, CCN 190039
  • East Jefferson General Hospital Hospital, Metairie, LA, CCN 190176

Merit-based Incentive Payment System (MIPS)

Final score
76.25 of 100Reported as group
Quality
71.6
Improvement activities
40
Cost
72.89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
006322283LAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Crescent City Physicians, Inc. Obstetrics & Gynecology CurrentSince Jun 1, 2018 Accepting new patients
Nephrology Associates PastSince Jun 1, 2018 Accepting new patients
Touro Infirmary Past Accepting new patients

Locations

2121 Ridgelake Dr
Fl 3
Metairie, LA 70001
Phone (504) 325-2700

2820 Canal St
New Orleans, LA 70119
Phone (504) 821-8158

3525 Prytania St
Ste 206
New Orleans, LA 70115
Phone (504) 897-8281

100 W Harrison Ave
Ste 101
New Orleans, LA 70124
Phone (504) 325-2929

3712 MacArthur Blvd
Ste 200
New Orleans, LA 70114
Phone (504) 349-6336

3600 Prytania St
Ste 35
New Orleans, LA 70115
Phone (504) 897-7197

Organizations & group practices 3

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

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560470400000",
    "number": "1184890980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 PRYTANIA ST",
            "address_2": "STE 35",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153678",
            "telephone_number": "504-897-8412",
            "fax_number": "504-249-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 MEDICAL CENTER BLVD",
            "address_2": "SUITE 250 SOUTH",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723151",
            "telephone_number": "504-349-6945",
            "fax_number": "504-349-6949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "BRANDON",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-01",
        "last_updated": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "006322283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215791",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marrero, LA

Sources for this page

Verify at the official NPI Registry.