Brian Lane Elkins, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD.13101R Issued in LA

Practice address

1201 N Bolton Ave Ste a
Alexandria, LA 71301-7460

Phone

(318) 441-2220

Fax

(318) 441-2205

NPI assigned

Aug 8, 2006

Last updated

Sep 12, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FGBECA/Endpoint/FGBECA

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.

• Lsu Health Sciences Center Shreveport Faculty Group Practice

  • Family Medicine Physician
  • Shreveport, LA
  • NPI 1013374222
  Medicare reassignment NPD
• Lsumc-S Family Practice Medical

  dba LSUHSC-S Family Medicine Residency Program

  • Family Medicine Physician
  • Alexandria, LA
  • NPI 1992888101
  Medicare reassignment NPD
• Central la. Family Health and Wellness Center

  • Primary Care Clinic/Center
  • Alexandria, LA
  • NPI 1184052789
  NPD (past) Authorized official
• Lsumc-S Family Practice Medical Center in Alexandria

  dba LSUHSC-S Family Medicine Residency Program

  • Family Medicine Physician
  • Alexandria, LA
  • NPI 1942889852
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1366452807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 N BOLTON AVE STE A",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713017460",
            "telephone_number": "318-441-2220",
            "fax_number": "318-441-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N BOLTON AVE STE A",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713017460",
            "telephone_number": "318-441-2220",
            "fax_number": "318-441-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELKINS",
        "first_name": "BRIAN",
        "middle_name": "LANE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD.13101R",
            "primary": true
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "LA",
            "license": "MD.13101R",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1556793",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Peggy B Ellis, CRNA
• Shonda Laverne Ellis
• William M Ellis III, D.O.
• Stacey Elmer, MS CCC-SLP

• Family Medicine Physician in Alexandria, LA
• Providers in Alexandria, 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 Sep 12, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.