Active NPI
Brianna McDaniel
- Dermatology Physician
- Covington, LA
National Provider Identifier
1285053496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 307882
- Practice address
- 109 New Camellia Blvd Ste 200
Covington, LA 70433-7829 - Phone
- (985) 370-7546
- NPI assigned
- Apr 15, 2014
- Last updated
- Dec 30, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 307882 | LA | Primary |
Addresses
Primary practice location
109 New Camellia Blvd Ste 200
Covington, LA 70433-7829
Mailing address
109 New Camellia Blvd Ste 200
Covington, LA 70433-7829
Phone (198) 527-7546
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2479946 | Medicaid | LA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- William Carey University College of Osteopathic Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
222 Hwy 21
Madisonville, LA 70447-9676
Phone (985) 277-5463
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.41 of 100
- Quality
- 82.81
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 91 |
| Removal of tissue | 29 |
| Removal of skin lesions | 997 |
| Removal of skin cancer | 394 |
| Removal or shaving of skin growth | 16 |
| Skin biopsy | 352 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 307882 | LA | MD | Dermatology Physician |
Organizations & group practices 1
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.
-
dba McDaniel Dermatology and Skin Surgery Institute, LLC
- Dermatology Physician
- Covington, LA
- NPI 1255939526
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640822400000",
"number": "1285053496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 NEW CAMELLIA BLVD STE 200",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704337829",
"telephone_number": "198-527-7546",
"fax_number": "985-277-5463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 NEW CAMELLIA BLVD STE 200",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704337829",
"telephone_number": "985-370-7546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDANIEL",
"first_name": "BRIANNA",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-15",
"last_updated": "2021-12-30",
"certification_date": "2021-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "LA",
"license": "307882",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2479946",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Covington, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; 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.