Active NPI
Louisiana Edoscopy Center, Inc.
- Endoscopy Clinic/Center
- Baton Rouge, LA
National Provider Identifier
1467409672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endoscopy Clinic/Center
- License
- 46
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902781 | Medicaid | LA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Gastroenterology Physician
- Baton Rouge, LA
- NPI 1306812326
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
- Louisiana Department of Health and Hospitals
- Louisiana Department of Health/Office for Citizens With Developmental Disabilities
- Louisiana Dept. of Health and Hospital
- Louisiana Dermatology Associates, LLC
- Louisiana Ear, Nose, Throat & Sinus, LLC
- Louisiana Emergency & Trauma Specialists
- Louisiana Empowerment Services
- Louisiana Empowerment Services
- Louisiana Express Pharmacy
- Louisiana Eye Center, Apmc
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.