Individual provider Active NPI

Brian Christopher Creely, M.D.

  • Surgery Physician
  • Metairie, LA
National Provider Identifier
1386748895
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
09213R Issued in LA
Practice address
4228 Houma Blvd
Suite 220
Metairie, LA 70006-3000
Phone
(504) 264-9353
Fax
(504) 301-9312
NPI assigned
Sep 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 09213R LA Primary

Addresses

Primary practice location

4228 Houma Blvd
Suite 220
Metairie, LA 70006-3000

Mailing address

4228 Houma Boulevard
Suite 220
Metairie, LA 70006-5406
Phone (504) 264-9353

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110526000750 LA Practitioner - General Surgery 5496932519 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Louisiana State University School of Medicine in New Orleans, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Jefferson Physicians Group LLCGroup PAC ID 4587660402, 211 clinicians

Practice addresses (Care Compare)

4200 Houma Blvd
Metairie, LA 70006-2970
Phone (504) 503-6565

4228 Houma Blvd
Metairie, LA 70006-3000
Phone (504) 454-2222

4320 Houma Blvd
FL 6
Metairie, LA 70006-2961
Phone (504) 503-4109

Hospital & facility affiliations

  • East Jefferson General Hospital Hospital, Metairie, LA, CCN 190176

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)19
Mastectomy1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0000LAMDCase Manager/Care Coordinator
09213RLAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metairie General Surgery LLC Surgery CurrentSince Feb 28, 2011 Accepting new patients
C. Edward Foti, M.D., a Professional Medical Corporation Surgery Current Accepting new patients
East Jefferson Physicians Group LLC CurrentSince Jul 1, 2025 Accepting new patients
Metairie Physician Services Inc. Past Accepting new patients

Locations

3106 Houma Blvd
Metairie, LA 70006
Phone (504) 250-1714

4228 Houma Blvd
Ste 220
Metairie, LA 70006
Phone (504) 264-9353

4320 Houma Blvd
Fl 6
Metairie, LA 70006
Phone (504) 503-4109

4228 Houma Blvd
Ste 530
Metairie, LA 70006
Phone (504) 456-8415

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454457600000",
    "number": "1386748895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4228 HOUMA BOULEVARD",
            "address_2": "SUITE 220",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700065406",
            "telephone_number": "504-264-9353",
            "fax_number": "504-301-9312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4228 HOUMA BLVD",
            "address_2": "SUITE 220",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700063000",
            "telephone_number": "504-264-9353",
            "fax_number": "504-301-9312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CREELY",
        "first_name": "BRIAN",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2016-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "09213R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.