Brant P Domangue, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

310574 Issued in LA

Practice address

100 Medical Center Dr
Slidell, LA 70461-5520

Phone

(985) 646-5189

NPI assigned

Jun 15, 2015

Last updated

Oct 22, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Emergency Medicine

Education

Tulane University School of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vincent Emergency Group, LLCGroup PAC ID 0840621926, 43 clinicians

Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

Belle Chasse Emergency Group LLCGroup PAC ID 7113140070, 95 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ochsner Medical Center Acute Hospital, New Orleans, LA, CCN 190036

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bdomangue645222@direct.ochsner.org

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.

• Belle Chasse Emergency Group LLC

  • Emergency Medicine Physician
  • New Orleans, LA
  • NPI 1851714075
  Medicare reassignment Care Compare group NPD
• Ochsner Clinic LLC

  • General Practice Physician
  • New Orleans, LA
  • NPI 1538151428
  Medicare reassignment Care Compare group NPD
• Vincent Emergency Group, LLC

  • Emergency Medicine Physician
  • Lufkin, TX
  • NPI 1740816917

  LA

  Medicare reassignment Care Compare group NPD
• Kenner Emergency Group LLC

  • Emergency Medicine Physician
  • Kenner, LA
  • NPI 1013986546
  Medicare reassignment NPD
• Luling Emergency Group LLC

  • Emergency Medicine Physician
  • Luling, LA
  • NPI 1528446101
  Medicare reassignment NPD
• Raceland Emergency Group, LLC

  • Emergency Medicine Physician
  • Raceland, LA
  • NPI 1023604352
  Medicare reassignment NPD
• South Louisiana Medical Associates

  • Surgery Physician
  • Houma, LA
  • NPI 1942301379

  Emergency Medicine

  Medicare reassignment NPD
• Ochsner Clinic LLC

  dba Diabetes Prevention Program

  • Registered Dietitian
  • Covington, LA
  • NPI 1013747039
  NPD
• Ochsner Clinic LLC

  dba Urological Institute Ochsner WB Campus

  • General Practice Physician
  • Marrero, LA
  • NPI 1629478409
  NPD
• South Louisiana Medical Associates

  • Durable Medical Equipment & Medical Supplies
  • Houma, LA
  • NPI 1699218131
  NPD
• South Louisiana Medical Associates

  • Internal Medicine Physician
  • Houma, LA
  • NPI 1710944012
  NPD
• Ochsner Clinic LLC

  dba Ochsner Clinic LLC (BR)

  • Internal Medicine Physician
  • Baton Rouge, LA
  • NPI 1407848443

  Emergency Medicine

  NPD (past)

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

• Ochsner Clinic Foundation

  dba Ochsner Medical Center Acute

  • General Acute Care Hospital
  • New Orleans, LA
  • NPI 1811973100
  Care Compare affiliation

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1225419211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HWY",
            "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": "100 MEDICAL CENTER DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704615520",
            "telephone_number": "985-646-5189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMANGUE",
        "first_name": "BRANT",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-15",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "LL38466",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "310574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Doctors' Hospital of Slidell, LLC (Cypress Pointe Hospital East)
• Doctors' Hospital of Slidell, LLC (Sterling Surgical Hospital)
• Doctors' Hospital of Slidell, LLC (Sterling Surgical Hospital)
• Melanie Ann Dolese, ACNP
• Joni Dolhonde, CSFA/CST
• Lee Robert Domangue, MD
• Whitney Meshell Domangue, PA-C
• David Joseph Donaldson Jr., M.D.
• Edward Lawrence Donaldson Jr., DDS
• Jill M Donaldson, DDS

• Emergency Medicine Physician in Slidell, LA
• Providers in Slidell, LA by specialty
• Emergency Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.