Active NPI
Roy F Brabham Jr., M.D.
- Plastic Surgery Physician
- Baton Rouge, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- MD.013301
- Practice address
- 3600 Florida Blvd
Baton Rouge, LA 70806-3842 - Phone
- (225) 281-2669
- Fax
- (985) 892-7070
- NPI assigned
- Dec 21, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | MD.013301 | LA | Primary |
| Specialist | 174400000X | MD.013301 | LA | |
| Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 2083P0011X | MD.013301 | LA |
Addresses
Primary practice location
3600 Florida Blvd
Baton Rouge, LA 70806-3842
Mailing address
PO Box 1089
Hammond, LA 70404-1089
Phone (985) 892-7070
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130429000569 | LA | Practitioner - General Surgery | 3375789837 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wound Care Associates LLC | Specialist | Current | Accepting new patients |
Locations
3600 Florida St
Baton Rouge, LA 70806
Phone (225) 381-2615
8585 Picardy Ave
Baton Rouge, LA 70809
Phone (225) 763-4000
20050 Crestwood Blvd
#O
Covington, LA 70433
Phone (985) 867-4008
46 Louis Prima Dr
Covington, LA 70433
16065 Lamonte Dr
Hammond, LA 70403
Phone (985) 956-7771
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 and National Provider Directory roles.
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 69.56 of 100
- Quality
- 43.22
- Promoting interoperability
- 88
- Improvement activities
- 40
- Cost
- 31.99
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517184000000",
"number": "1316283286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1089",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704041089",
"telephone_number": "985-892-7070",
"fax_number": "985-892-7017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 FLORIDA BLVD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708063842",
"telephone_number": "225-281-2669",
"fax_number": "985-892-7070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRABHAM",
"first_name": "ROY",
"middle_name": "F",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-12-21",
"last_updated": "2018-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "LA",
"license": "MD.013301",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "LA",
"license": "MD.013301",
"primary": false
},
{
"code": "2083P0011X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
"state": "LA",
"license": "MD.013301",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.