NPIMap

Organization Active NPI

Baton Rouge General Medical Center

Doing business as BRG Comprehensive Care Center

  • Gastroenterology Physician
  • Baton Rouge, LA
National Provider Identifier
1407346984
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
BATON ROUGE GENERAL MEDICAL CENTER
Doing business as
BRG Comprehensive Care Center
Practice address
8585 Picardy Ave Ste 412
Baton Rouge, LA 70809-3749
Phone
(225) 387-7077
Fax
(225) 442-5088
NPI assigned
May 10, 2018
Last updated
Oct 22, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

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

Authorized official

Name
Kendall Johnson
Title
Cfo
Phone
(225) 237-1645

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X
Registered Dietitian 133V00000X
Gastroenterology Physician 207RG0100X Primary

Addresses

Primary practice location

8585 Picardy Ave Ste 412
Baton Rouge, LA 70809-3749

Mailing address

8490 Picardy Ave Ste 200
Baton Rouge, LA 70809-3733
Phone (225) 237-1505

Other identifiers 1

IdentifierTypeStateIssuer
261000000XMedicaidLA

Other names 1

  • BRG Comprehensive Care Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070823000143 LA Part A Provider - Hospital 4082600077 6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Baton Rouge, LA; Prairieville, LA
O20081121000299 LA Part B Supplier - Clinic/Group Practice 4082600077 Receives reassigned benefits from 132 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Baton Rouge, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407346984. Details of each certification follow.

Hospital certification: CCN 190065

Legal name
BATON ROUGE GENERAL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Feb 22, 2025
Beds
384
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Aug 15, 1983 in LA
Enrollment address
3600 Florida Blvd
Baton Rouge, LA 70806-3842
Other Hospital Practice Location
Hospital subgroups
Acute care, Other

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Baton Rouge General Medical CenterCCN 190065 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

2550 Oneal Ln
Baton Rouge, LA 70816
Phone (225) 663-6500

3401 North Blvd
Ste 130B
Baton Rouge, LA 70806
Phone (225) 387-7077

3401 North Blvd
Ste 200
Baton Rouge, LA 70806
Phone (225) 336-3100

3401 North Blvd
Ste 200B
Baton Rouge, LA 70806
Phone (225) 381-2615

3401 North Blvd
Ste 310
Baton Rouge, LA 70806
Phone (225) 381-6625

3801 North Blvd
Baton Rouge, LA 70806
Phone (225) 381-6620

4540 N Blvd
Baton Rouge, LA 70806
Phone (225) 387-7904

4950 Essen Ln
Ste 600
Baton Rouge, LA 70809
Phone (225) 215-1181

5422 Dijon Dr
Baton Rouge, LA 70808
Phone (225) 663-6500

8585 Picardy Ave
Ste 212
Baton Rouge, LA 70809
Phone (225) 763-4861

8585 Picardy Ave
Ste 305
Baton Rouge, LA 70809
Phone (225) 819-1160

8585 Picardy Ave
Ste 315
Baton Rouge, LA 70809
Phone (225) 819-1165

8585 Picardy Ave
Ste 317
Baton Rouge, LA 70809
Phone (225) 387-7077

8585 Picardy Ave
Ste 400
Baton Rouge, LA 70809
Phone (225) 763-4764

8585 Picardy Ave
Ste 412
Baton Rouge, LA 70809
Phone (225) 387-7916

8585 Picardy Ave
Ste 450
Baton Rouge, LA 70809
Phone (225) 763-4000

8595 Picardy Ave
#203
Baton Rouge, LA 70809

8595 Picardy Ave
Ste 203
Baton Rouge, LA 70809
Phone (225) 237-1608

8595 Picardy Ave
Ste 315
Baton Rouge, LA 70809
Phone (225) 387-7818

8595 Picardy Ave
Ste 450
Baton Rouge, LA 70809
Phone (225) 763-4000

9001 Summa Ave
Ste 443
Baton Rouge, LA 70809
Phone (225) 381-6527

9001 Summa Ave
Ste 447
Baton Rouge, LA 70809
Phone (225) 763-4050

14105 Highway 73
Ste 100
Prairieville, LA 70769
Phone (225) 402-2600

17505 Old Jefferson Hwy
Prairieville, LA 70769
Phone (985) 500-3130

17520 Old Jefferson Hwy
Ste B
Prairieville, LA 70769
Phone (225) 673-8983

Ownership & related parties

All disclosed owners & managing parties 21

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Rhoman Hardy Individual Corporate DirectorBoard Member Jan 1, 2021
Edgardo Tenreiro Individual Corporate Director Jul 1, 2016
W-2 Managing EmployeeCeo Jul 1, 2016 100%
Joe Juban Individual Corporate DirectorBoard Member Jan 1, 2021
Roy Kadair Individual Corporate Director Oct 1, 2006
Jacques a Delabretonne Individual Corporate DirectorBoard Member Jan 1, 2021
Louis R Minsky Individual Corporate Director Apr 1, 2018
Phyliss McLaurin Individual Corporate Director Jan 1, 2014
Kristopher Kirkpatrick Individual Corporate DirectorBoard Member Jan 1, 2021
Kendall a Johnson Individual Corporate DirectorCfo Oct 1, 2016 100%
W-2 Managing EmployeeCfo Oct 1, 2016 100%
Brad J Gaspard Individual Corporate DirectorBoard Member Jan 1, 2021
Lindsay Shelton Individual W-2 Managing Employee Apr 1, 2018
Isabelina Nahmens Individual Corporate Director Jan 1, 2014
Chris Tyson Individual Corporate DirectorBoard Member Jan 1, 2021
Andrew Johnson Olinde Individual Corporate Director Oct 1, 2011
General Health System Organization, Baton Rouge, LA Corporation 5% Or Greater Direct Ownership Interest Oct 1, 2006
Gwen Hamilton Individual Corporate Director Apr 1, 2018
Sundararama R Vatsavai Individual Corporate DirectorBoard Member Jan 1, 2021
Annette Barton Individual Corporate DirectorBoard Member Jan 1, 2021
Trisha Guidry Individual Corporate DirectorChain Home Office Administrator Jan 1, 2021
Brian Jackson Individual Corporate Director Apr 1, 2018
Ryland Percy Individual Corporate DirectorBoard Member Jan 1, 2021

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 157

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.

View all 157

Affiliated clinicians 599

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 599

NPI Registry JSON

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571702400000",
    "number": "1407346984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8490 PICARDY AVE STE 200",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093733",
            "telephone_number": "225-237-1505",
            "fax_number": "225-237-1623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8585 PICARDY AVE STE 412",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093749",
            "telephone_number": "225-387-7077",
            "fax_number": "225-442-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BATON ROUGE GENERAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-10",
        "last_updated": "2019-10-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KENDALL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "225-237-1645"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261000000X",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRG Comprehensive Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BRG Comprehensive Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.