NPIMap

Individual provider Active NPI

Brandon R Brousse, MD

  • Gastroenterology Physician
  • Covington, LA
National Provider Identifier
1508229618
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
330447 Issued in LA
Practice address
131 Cherokee Rose LN Ste B
Covington, LA 70433-7244
Phone
(985) 871-1721
Fax
(985) 871-4049
NPI assigned
Apr 5, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Gastroenterology Physician 207RG0100X 330447 LA Primary

Addresses

Primary practice location

131 Cherokee Rose LN Ste B
Covington, LA 70433-7244

Mailing address

131 Cherokee Rose LN Ste B
Covington, LA 70433-7244
Phone (985) 871-1721

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220530000023 LA Practitioner - Gastroenterology 7810282415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Louisiana State University School of Medicine in Shreveport, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

131 Cherokee Rose LN
Covington, LA 70433-7244
Phone (985) 871-1721

233 Saint Ann Dr
Suite 4
Mandeville, LA 70471-3395
Phone (985) 871-1721

764 N Acadia Rd
Suite a
Thibodaux, LA 70301-5009
Phone (985) 446-1958

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.98 of 100Reported as group
Quality
66.51
Promoting interoperability
98
Improvement activities
40
Cost
71.76

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy55
Upper gastrointestinal (GI) endoscopy for acid reflux124

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
330447LAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Digestive Disease Consultants PLLC Gastroenterology CurrentSince Aug 1, 2023 Accepting new patients
Texas Digestive Disease Consultants, PLLC Gastroenterology CurrentSince Aug 1, 2023 Accepting new patients
Gastroenterology Group, LLC Gastroenterology CurrentSince Jul 1, 2022 Accepting new patients
Endocenter, LLC Past Accepting new patients
Texas Digestive Disease Consultants, PLLC Gastroenterology Past Accepting new patients

Locations

131 Cherokee Rose Ln
Ste A
Covington, LA 70433
Phone (985) 809-8068

131 Cherokee Rose Ln
Ste B
Covington, LA 70433
Phone (504) 871-1721

233 Saint Ann Dr
Ste 4
Mandeville, LA 70471
Phone (985) 727-3936

58515 Pearl Acres Rd
Slidell, LA 70461
Phone (985) 641-8982

764 N Acadia Rd
Ste A
Thibodaux, LA 70301
Phone (985) 446-1958

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2822/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1508229618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 CHEROKEE ROSE LN STE B",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337244",
            "telephone_number": "985-871-1721",
            "fax_number": "985-871-4049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 CHEROKEE ROSE LN STE B",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337244",
            "telephone_number": "985-871-1721",
            "fax_number": "985-871-4049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUSSE",
        "first_name": "BRANDON",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-05",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "LA",
            "license": "330447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.