Organization Active NPI

Louisiana Edoscopy Center, Inc.

  • Endoscopy Clinic/Center
  • Baton Rouge, LA
National Provider Identifier
1467409672
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endoscopy Clinic/CenterTaxonomy code 261QE0800X
License
46 Issued in LA
Legal business name
LOUISIANA EDOSCOPY CENTER, INC.
Practice address
9103 Jefferson Hwy
Baton Rouge, LA 70809-2440
Phone
(225) 927-1190
Fax
(225) 231-8819
NPI assigned
May 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Charles C. Berggreem, M.D.
Title
Director
Phone
(225) 927-1190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endoscopy Clinic/Center 261QE0800X 46 LA Primary

Addresses

Primary practice location

9103 Jefferson Hwy
Baton Rouge, LA 70809-2440

Mailing address

9103 Jefferson Hwy
Baton Rouge, LA 70809-2440
Phone (225) 927-1190

Other identifiers 1

IdentifierTypeStateIssuer
1902781MedicaidLA

National Provider Directory

National Provider Directory

Locations

8150 Jefferson Hwy
Baton Rouge, LA 70809
Phone (225) 336-3100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467409672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9103 JEFFERSON HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708092440",
            "telephone_number": "225-927-1190",
            "fax_number": "225-231-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9103 JEFFERSON HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708092440",
            "telephone_number": "225-927-1190",
            "fax_number": "225-231-8819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA EDOSCOPY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERGGREEM",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "225-927-1190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "LA",
            "license": "46",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902781",
            "state": "LA"
        }
    ],
    "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 Aug 22, 2020; 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.