Brent Mazoch, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

004536 Issued in LA

Practice address

3223 8TH St
Metairie, LA 70002-1623

Phone

(504) 833-7770

Fax

(504) 833-7782

NPI assigned

Sep 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• C & M Medical Services, Inc.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Metairie, LA
  • NPI 1710903059

  LA

  Medicare reassignment NPD
• East Baton Rouge Emergency Physicians Group, LLC

  • Emergency Medicine Physician
  • Zachary, LA
  • NPI 1255894952

  Emergency Medicine, LA

  Medicare reassignment NPD
• St Helena Parish Hospital

  • Critical Access Hospital
  • Greensburg, LA
  • NPI 1013068808

  LA

  Medicare reassignment NPD
• St. Helena Parish Hospital

  • Critical Access Hospital
  • Greensburg, LA
  • NPI 1588614036

  LA

  Medicare reassignment NPD
• St Helena Parish Hospital

  • Rural Health Clinic/Center
  • Greensburg, LA
  • NPI 1003865619
  NPD
• Ascension Emergency Physicians LLC

  • Emergency Medicine Physician
  • Gonzales, LA
  • NPI 1699118505

  Emergency Medicine

  NPD (past)
• C&M Medical Services-St Charles LLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Luling, LA
  • NPI 1407148133
  NPD (past)

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247184000000",
    "number": "1205938511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3223 8TH ST",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700021623",
            "telephone_number": "504-833-7770",
            "fax_number": "504-833-7782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 8TH ST",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700021623",
            "telephone_number": "504-833-7770",
            "fax_number": "504-833-7782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZOCH",
        "first_name": "BRENT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2009-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "004536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1914401",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine Maynard, CRNA
• Timothy Maynard, CRNA
• Sarah Katherine Maynor
• Edwin M. Mayo, RPT
• Nicayla Mays
• Lisa A Mazoch, MD
• Crystal MC Bride
• Elle Quinn MC Cracken
• Daniel C MC Kinney, MD
• James Lyle McAbee, PH.D.

• All providers in Metairie, LA
• Emergency Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.