Individual provider Active NPI

Robert Neal Brown, M.D.

  • Diagnostic Radiology Physician
  • Lake Charles, LA
National Provider Identifier
1528041258
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
015028 Issued in LA
Practice address
1800 Ryan St
Suite 105
Lake Charles, LA 70601-6078
Phone
(337) 439-4706
Fax
(337) 439-8110
NPI assigned
Nov 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 015028 LA Primary

Addresses

Primary practice location

1800 Ryan St
Suite 105
Lake Charles, LA 70601-6078

Mailing address

1800 Ryan St
Suite 105
Lake Charles, LA 70601-6078
Phone (337) 439-4706

Other identifiers 3

IdentifierTypeStateIssuer
1301876MedicaidLA
300083017OtherRAILROAD MEDICARE
9922OtherLACDS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20031125000200 LA Practitioner - Diagnostic RadiologyPractitioner - Dermatology 1557265113 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
015028LAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Second Avenue MRI LLC Diagnostic Radiology CurrentSince Dec 15, 2005 Accepting new patients
Radiology Associates of Southwest Louisiana Diagnostic Radiology CurrentSince Mar 1, 1998 Accepting new patients
Imperial Health LLP Past Accepting new patients
Louisiana Pet Imaging of Alexandria, LLC Past Accepting new patients

Locations (25 of 35)

301 4th St
Alexandria, LA 71301
Phone (318) 441-1030

3704 North Blvd
Alexandria, LA 71301
Phone (318) 448-8211

224 Pecan Park Ave
Alexandria, LA 71303
Phone (318) 427-7900

3425 North Blvd
Ste A
Alexandria, LA 71301
Phone (318) 473-1921

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

3311 Prescott Rd
Ste 4001
Alexandria, LA 71301

5419 Jackson Street Ext
#A
Alexandria, LA 71303
Phone (318) 441-2226

3330 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6917

3311 Prescott Rd
Ste 100
Alexandria, LA 71301
Phone (318) 442-3384

5413 Jackson Street Ext
Alexandria, LA 71303
Phone (318) 442-8399

651 N Bolton Ave
Alexandria, LA 71301
Phone (318) 443-3511

221 Windermere Blvd
Alexandria, LA 71303
Phone (318) 427-3300

600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100

187 Ninth St
Jena, LA 71342
Phone (318) 992-9200

600 Bayou Pines East Dr
Ste A
Lake Charles, LA 70601
Phone (337) 493-5310

1750 Ryan St
Lake Charles, LA 70601
Phone (337) 433-3001

2770 3rd Ave
Ste 125
Lake Charles, LA 70601
Phone (337) 494-2674

1747 Imperial Blvd
Ste B
Lake Charles, LA 70605
Phone (337) 312-8284

524 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 430-4455

1800 Ryan St
Ste 105
Lake Charles, LA 70601
Phone (337) 291-9161

1701 Oak Park Blvd
Lake Charles, LA 70601
Phone (337) 494-3000

1601 Country Club Rd
Lake Charles, LA 70605
Phone (337) 439-7778

1000 Walters St
Lake Charles, LA 70607
Phone (337) 475-8687

4200 Nelson Rd
Lake Charles, LA 70605
Phone (318) 474-6370

801 Poinciana Ave
Mamou, LA 70554
Phone (337) 457-5740

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1528041258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 RYAN ST",
            "address_2": "SUITE 105",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706016078",
            "telephone_number": "337-439-4706",
            "fax_number": "337-439-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 RYAN ST",
            "address_2": "SUITE 105",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706016078",
            "telephone_number": "337-439-4706",
            "fax_number": "337-439-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ROBERT",
        "middle_name": "NEAL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-28",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "015028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1301876",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300083017",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDS",
            "identifier": "9922",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.