Individual provider Active NPI

Brent Michael Giuffre, M.D.

  • Emergency Medicine Physician
  • Luling, LA
National Provider Identifier
1235169947
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
LA025977 Issued in LA
Practice address
1057 Paul Maillard Rd
Luling, LA 70070-4349
Phone
(985) 785-3655
NPI assigned
Jul 5, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X LA025977 LA Primary

Addresses

Primary practice location

1057 Paul Maillard Rd
Luling, LA 70070-4349

Mailing address

6819 General Haig St
New Orleans, LA 70124-4028
Phone (504) 813-9116

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
I20040416001289 LA Practitioner - Emergency Medicine 2062407232 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LA025977LAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Baton Rouge Emergency Physicians Group, LLC Emergency Medicine CurrentSince Aug 1, 2019 Accepting new patients
C & M Medical Services, Inc. CurrentSince Jul 1, 1990 Accepting new patients

Locations

1125 W Highway 30
Gonzales, LA 70737
Phone (225) 621-2975

1645 Lutcher Ave
Lutcher, LA 70071
Phone (225) 258-5901

2202 False River Dr
New Roads, LA 70760
Phone (225) 638-5702

6300 Main St
Zachary, LA 70791
Phone (225) 570-2618

Organizations & group practices 2

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235169947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6819 GENERAL HAIG ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701244028",
            "telephone_number": "504-813-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 PAUL MAILLARD RD",
            "city": "LULING",
            "state": "LA",
            "postal_code": "700704349",
            "telephone_number": "985-785-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIUFFRE",
        "first_name": "BRENT",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "LA025977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Luling, LA

Sources for this page

Verify at the official NPI Registry.