Brian K Granger, M.D.05

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

022624 Issued in LA

Practice address

201 W Gloria Switch Rd
Suite I
Lafayette, LA 70507-2590

Phone

(337) 565-6012

Fax

(337) 565-6014

NPI assigned

Jun 9, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA, TN2 enrollments

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 2

Specialty

Family Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Afc Physicians of Tennessee PCGroup PAC ID 5395924823, 30 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

72.42 of 100Reported as group

Quality

60.87

Improvement activities

40

Cost

79.8

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Afc Physicians of Tennessee, PC

  • Primary Care Clinic/Center
  • Chattanooga, TN
  • NPI 1114234523

  TN

  Medicare reassignment Care Compare group NPD
• Lourdes After Hours LLC

  • Urgent Care Clinic/Center
  • Lafayette, LA
  • NPI 1649297730

  LA

  Medicare reassignment NPD
• Lourdes After Hours LLC

  • Urgent Care Clinic/Center
  • Carencro, LA
  • NPI 1669774923
  NPD
• Afc Physicians of Tennessee, PC

  • General Practice Physician
  • Knoxville, TN
  • NPI 1649647249

  Family Medicine

  NPD
• Brian K. Granger M.D., Apmc

  • Family Medicine Physician
  • Lafayette, LA
  • NPI 1942361951

  Family Medicine

  NPD (past)
• Wound Care Associates LLC

  • Specialist
  • Hammond, LA
  • NPI 1568793750
  NPD (past)

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487658274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W GLORIA SWITCH RD",
            "address_2": "SUITE I",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705072590",
            "telephone_number": "337-565-6012",
            "fax_number": "337-565-6014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W GLORIA SWITCH RD",
            "address_2": "SUITE I",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705072590",
            "telephone_number": "337-565-6012",
            "fax_number": "337-565-6014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANGER",
        "first_name": "BRIAN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.05",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "022624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1491314",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Ledet Graciana, LPC
• Heidi Broussard Gracy
• Kaitlyn Chace Graham
• Ricki Donnell Graham, PT
• Stefin Eston Graham, CRNA
• Darrell Granger
• Erica Lind Granger, MSN, FNP-C
• Harold J Granger, M.D.
• Kandase Granger, LMT
• M. Charisse Granger

• All providers in Lafayette, LA
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.