Active NPI
Brian David Martin, CFA
- Surgical Technologist
- Houma, LA
National Provider Identifier
1356485023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Technologist
- License
- F01313
- Practice address
- 218 Corporate Dr
Houma, LA 70360-2768 - Phone
- (985) 853-1390
- Fax
- (985) 850-5283
- NPI assigned
- Feb 16, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Surgical Technologist | 246ZS0410X | F01313 | LA | Primary |
Addresses
Primary practice location
218 Corporate Dr
Houma, LA 70360-2768
Mailing address
PO Box 177
Bourg, LA 70343-0177
Phone (985) 594-6584
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F01313 | LA | MD | Surgical Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356485023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 177",
"city": "BOURG",
"state": "LA",
"postal_code": "703430177",
"telephone_number": "985-594-6584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "218 CORPORATE DR",
"city": "HOUMA",
"state": "LA",
"postal_code": "703602768",
"telephone_number": "985-853-1390",
"fax_number": "985-850-5283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "BRIAN",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "CFA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "246ZS0410X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": "LA",
"license": "F01313",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houma, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.