Individual provider Active NPI

Brytton A. Eldredge, M.D.

  • Specialist
  • Lafayette, LA
National Provider Identifier
1265480503
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
024100 Issued in LA
Practice address
109 Rue Fountaine
Lafayette, LA 70508-5744
Phone
(337) 266-9820
Fax
(337) 266-9822
NPI assigned
May 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 024100 LA Primary

Addresses

Primary practice location

109 Rue Fountaine
Lafayette, LA 70508-5744

Mailing address

109 Rue Fountaine
Lafayette, LA 70508-5744
Phone (337) 266-9820

Other identifiers 1

IdentifierTypeStateIssuer
48901MedicaidLA

Other names 1

  • Dr. Brytton A. Baker Former name

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
I20050308001203 LA Practitioner - Otolaryngology 0244284602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David and Eldredge ENT Specialists, LLCGroup PAC ID 2860526266, 4 clinicians

Practice addresses (Care Compare)

109 Rue Fontaine
Lafayette, LA 70508-5744
Phone (337) 266-9820

Hospital & facility affiliations

  • Park Place Surgical Hospital Hospital, Lafayette, LA, CCN 190255
  • Our Lady of Lourdes Regional Medical Center, Inc Hospital, Lafayette, LA, CCN 190102
  • Ochsner Lafayette General Medical Center Hospital, Lafayette, LA, CCN 190002

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
024100LAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
David and Eldredge ENT Specialists, LLC Otolaryngology CurrentSince Jul 1, 2010 Accepting new patients
Lisa B David MD Apmc Otolaryngology Past Accepting new patients
Reginald D Rice Jr MD Prof. Corp. Specialist Past Accepting new patients

Locations

109 Rue Fontaine
Lafayette, LA 70508
Phone (337) 266-9820

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8240/brand/1/csg/1/fhir/r4

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 3

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454457600000",
    "number": "1265480503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 RUE FOUNTAINE",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085744",
            "telephone_number": "337-266-9820",
            "fax_number": "337-266-9822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 RUE FOUNTAINE",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085744",
            "telephone_number": "337-266-9820",
            "fax_number": "337-266-9822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDREDGE",
        "first_name": "BRYTTON",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2016-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "024100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "48901",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRYTTON",
            "last_name": "BAKER",
            "middle_name": "A.",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.