Organization Active NPI

Red Stick Physicians Group LLC

  • Primary Care Clinic/Center
  • Baton Rouge, LA
National Provider Identifier
1316728736
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
RED STICK PHYSICIANS GROUP LLC
Practice address
12011 Bricksome Ave Ste B
Baton Rouge, LA 70816-2994
Phone
(225) 713-4050
Fax
(225) 713-4050
NPI assigned
Oct 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Authorized official

Name
Kaley Benson, RN
Title
Ceo
Phone
(225) 978-4264

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

12011 Bricksome Ave Ste B
Baton Rouge, LA 70816-2994

Mailing address

12011 Bricksome Ave Ste B
Baton Rouge, LA 70816-2994
Phone (225) 713-4050

National Provider Directory

National Provider Directory

Locations

12011 Bricksome Ave
Ste B
Baton Rouge, LA 70816
Phone (225) 713-4050

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1316728736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12011 BRICKSOME AVE STE B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708162994",
            "telephone_number": "225-713-4050",
            "fax_number": "225-713-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12011 BRICKSOME AVE STE B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708162994",
            "telephone_number": "225-713-4050",
            "fax_number": "225-713-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED STICK PHYSICIANS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-11",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "KALEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "225-978-4264",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.