Brenton Wayne McDonald, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

12051R Issued in LA

Practice address

2807 Evangeline St
Monroe, LA 71201-3749

Phone

(318) 737-2269

Fax

(318) 324-1719

NPI assigned

Jun 23, 2006

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 3

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

Specialty

Diagnostic Radiology

Education

Louisiana State University School of Medicine in Shreveport, 1994

Medicare assignment

May accept Medicare assignment

Group practices

Allen Parish Hospital District No 3Group PAC ID 3274431341, 47 clinicians

CLHG-Oakdale LLCGroup PAC ID 1355623943, 37 clinicians

Lsu Health Sciences Center Shreveport Faculty Group PracticeGroup PAC ID 4082902721, 567 clinicians

Franklin Parish Hospital Service Dist 1Group PAC ID 7810893302, 80 clinicians

Allegiance Hospital of Many, LLCGroup PAC ID 3274607551, 40 clinicians

Richland Parish Hospital Service District No 1-BGroup PAC ID 2163481599, 41 clinicians

Morehouse General HospitalGroup PAC ID 4284528274, 34 clinicians

East Carroll Parish HospitalGroup PAC ID 1153216619, 36 clinicians

Hospital Service District No 1a of the Parish of Richland State of laGroup PAC ID 1456307230, shared by 10 NPIs, 31 clinicians

Caldwell Memorial Hospital, Inc.Group PAC ID 9638063944, 26 clinicians

Hospital Service District No 1 Parish of Avoyelles State of laGroup PAC ID 3375440910, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ochsner Lsu Health Monroe Hospital, Monroe, LA, CCN 190011
• Franklin Medical Center Hospital, Winnsboro, LA, CCN 190140
• Morehouse General Hospital Hospital, Bastrop, LA, CCN 190116
• Richardson Medical Center Hospital, Rayville, LA, CCN 190151
• Sabine Medical Center Hospital, Many, LA, CCN 190218

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 34)

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/21ed112e-ec5e-43b1-8ddc-cd3753841e6e/
• FHIR API: https://fhir-usa.unify.chbase.com/org/caldmem-57e7c173

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.

• Allegiance Hospital of Many, LLC

  • General Acute Care Hospital
  • Many, LA
  • NPI 1568626273
  Medicare reassignment Care Compare group NPD
• Allen Parish Hospital District No 3

  • Psychiatric Hospital Unit
  • Kinder, LA
  • NPI 1982601944
  Medicare reassignment Care Compare group NPD
• Caldwell Memorial Hospital, Inc.

  • Emergency Medicine Physician
  • Columbia, LA
  • NPI 1023283793
  Medicare reassignment Care Compare group NPD
• CLHG-Oakdale LLC

  • Rural Health Clinic/Center
  • Oberlin, LA
  • NPI 1063111920
  Medicare reassignment Care Compare group NPD
• East Carroll Parish Hospital

  • General Acute Care Hospital
  • Lake Providence, LA
  • NPI 1982695441
  Medicare reassignment Care Compare group NPD
• Franklin Parish Hospital Service Dist 1

  • Rural Acute Care Hospital
  • Winnsboro, LA
  • NPI 1619143120
  Medicare reassignment Care Compare group NPD
• Hospital Service District No 1 Parish of Avoyelles State of Louisiana

  • Critical Access Hospital
  • Bunkie, LA
  • NPI 1316157845
  Medicare reassignment Care Compare group NPD
• Lsu Health Sciences Center Shreveport Faculty Group Practice

  • Family Medicine Physician
  • Shreveport, LA
  • NPI 1013374222
  Medicare reassignment Care Compare group NPD
• Morehouse General Hospital

  • Multi-Specialty Clinic/Center
  • Bastrop, LA
  • NPI 1790966638

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Richland Parish Hospital Service District No 1-B

  • General Acute Care Hospital
  • Rayville, LA
  • NPI 1255370144
  Medicare reassignment Care Compare group NPD
• Acadia-St. Landry Hospital Service District

  • Emergency Medicine Physician
  • Church Point, LA
  • NPI 1518981968
  Medicare reassignment NPD
• Brfhh Monroe LLC

  • Internal Medicine Physician
  • Monroe, LA
  • NPI 1811324882

  Diagnostic Radiology

  Medicare reassignment NPD

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

• Allegiance Hospital of Many, LLC

  • Psychiatric Hospital Unit
  • Zwolle, LA
  • NPI 1497219257
  Care Compare affiliation
• Allegiance Hospital of Many, LLC

  • General Acute Care Hospital
  • Many, LA
  • NPI 1568626273
  Care Compare affiliation
• Brfhh Monroe LLC

  • General Acute Care Hospital
  • Monroe, LA
  • NPI 1215939210
  Care Compare affiliation
• Franklin Parish Hospital Service Dist 1

  • Rural Acute Care Hospital
  • Winnsboro, LA
  • NPI 1356399539
  Care Compare affiliation
• Morehouse General Hospital

  • General Acute Care Hospital
  • Bastrop, LA
  • NPI 1003898313
  Care Compare affiliation
• Richland Parish Hospital Service District No 1-B

  • General Acute Care Hospital
  • Rayville, LA
  • NPI 1255370144
  Care Compare affiliation

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418256000000",
    "number": "1528094455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2807 EVANGELINE ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013749",
            "telephone_number": "318-737-2269",
            "fax_number": "318-324-1719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2807 EVANGELINE ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013749",
            "telephone_number": "318-737-2269",
            "fax_number": "318-324-1719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "BRENTON",
        "middle_name": "WAYNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2014-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "12051R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1542288",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "134436001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300101532",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenda McDaniel, MED
• Courtney Michelle McDaniel
• Kenyatta McDaniel
• Sarah McDaniel, MHS
• Raymond McDaniels, FNP-C
• Danielle Williams McDonald, RN
• Laura McDonald, LOTR
• Ryan McDonald
• Shontel McDonald
• Misty McDowell

• Diagnostic Radiology Physician in Monroe, LA
• Providers in Monroe, LA by specialty
• Diagnostic Radiology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; 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.