Brian Gamborg

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

023359 Issued in LA

Practice address

1525 Oak Park Blvd
Lake Charles, LA 70601-8849

Phone

(337) 494-6767

Fax

(337) 494-6750

NPI assigned

Mar 27, 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

Specialty

Family Practice

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Calcasieu Cameron Hospital Medicine Group LLCGroup PAC ID 1557688421, 66 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• West Calcasieu Cameron Hospital Hospital, Sulphur, LA, CCN 190013

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.

• Calcasieu Cameron Hospital Medicine Group LLC

  • Hospitalist Physician
  • Sulphur, LA
  • NPI 1659764967
  Medicare reassignment Care Compare group NPD
• Lsuhsc Family Practice Center @ LCMH

  • Family Medicine Physician
  • Lake Charles, LA
  • NPI 1073514493
  Medicare reassignment
• Calcasieu Cameron Hospital Service District

  • General Acute Care Hospital
  • Sulphur, LA
  • NPI 1093719932
  NPD (past)

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

• Calcasieu Cameron Hospital Service District

  • General Acute Care Hospital
  • Sulphur, LA
  • NPI 1083992382
  Care Compare affiliation
• Calcasieu Cameron Hospital Service District

  • General Acute Care Hospital
  • Sulphur, LA
  • NPI 1093719932
  Care Compare affiliation
• Calcasieu Cameron Hospital Service District

  • Multi-Specialty Clinic/Center
  • Sulphur, LA
  • NPI 1215560974

  Hospital

  Care Compare affiliation
• Calcasieu Cameron Hospital Service District

  • Otolaryngology/Facial Plastic Surgery Physician
  • Sulphur, LA
  • NPI 1366700387

  Hospital

  Care Compare affiliation
• Calcasieu Cameron Hospital Service District

  • Obstetrics & Gynecology Physician
  • Sulphur, LA
  • NPI 1619221348

  Hospital

  Care Compare affiliation
• Calcasieu Cameron Hospital Service District

  • Clinic/Center
  • Sulphur, LA
  • NPI 1801133913

  Hospital

  Care Compare affiliation
• Calcasieu Cameron Hospital Service District

  • Urology Physician
  • Sulphur, LA
  • NPI 1942552310

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1295795755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 123453 DEPT 3453",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753123453",
            "telephone_number": "337-494-2921",
            "fax_number": "337-494-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 OAK PARK BLVD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018849",
            "telephone_number": "337-494-6767",
            "fax_number": "337-494-6750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBORG",
        "first_name": "BRIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "023359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1694878",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Gallien
• Paige Gallien, PHARMD
• Shelia Galmore
• Tomika Galmore, BSN, RN
• Tiffany Gamble
• Garber Foot & Ankle Clinic
• Vernon L Garber, DPM
• Ann Garcia-Stevenson
• Nicole Meredith Garden, FNP-C
• Kyle Gardner, PHARM. D.

• Family Medicine Physician in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; 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.