Active NPI
Baptiste William Brunner III, MD
- Urology Physician
- Covington, LA
National Provider Identifier
1528063732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 010614
- Practice address
- 67250 Industry LN
Ste B
Covington, LA 70433-8716 - Phone
- (985) 892-3456
- Fax
- (985) 892-3499
- NPI assigned
- Jun 15, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 010614 | LA | Primary |
Addresses
Primary practice location
67250 Industry LN
Ste B
Covington, LA 70433-8716
Mailing address
301 Silver Oaks LN
River Ridge, LA 70123-2030
Phone (504) 737-2999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1365939 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10614 | LA | MD | Clinical Social Worker |
| 010614 | LA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lsuhn Billing LLC | Current | Accepting new patients | |
| Lsuhn Billing LLC | Current | Accepting new patients |
Locations
2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Lafayette, LA
- NPI 1992975775
-
- Urology Physician
- Metairie, LA
- NPI 1801855655
-
- Oral and Maxillofacial Surgery (Dentist)
- Baton Rouge, LA
- NPI 1306247556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229472000000",
"number": "1528063732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 SILVER OAKS LN",
"city": "RIVER RIDGE",
"state": "LA",
"postal_code": "701232030",
"telephone_number": "504-737-2999",
"fax_number": "504-737-3999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67250 INDUSTRY LN",
"address_2": "STE B",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704338716",
"telephone_number": "985-892-3456",
"fax_number": "985-892-3499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNNER",
"first_name": "BAPTISTE",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-15",
"last_updated": "2008-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "LA",
"license": "010614",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1365939",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Covington, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.