Pepper Marie Brasseaux, RVT-VT; RDMS-AB

Primary specialty

Vascular Sonography Radiologic TechnologistTaxonomy code 2471V0105X

License

98098 Issued in LA

Practice address

218 Caldwell Sugar Rd
Youngsville, LA 70592-6698

Phone

(337) 288-0736

Fax

(337) 892-1238

NPI assigned

Oct 5, 2021

Last updated

Nov 29, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 7

Addresses

Other names 1

• Pepper Marie Smith Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Lifetouch Imaging LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Youngsville, LA
  • NPI 1982361424

  Sonography

  NPD Authorized official
• Truvue Ultrasound LLP

  • Diagnostic Ultrasound Physician
  • Youngsville, LA
  • NPI 1922997212
  NPD Authorized official

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1528720778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 CALDWELL SUGAR RD",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "705926698",
            "telephone_number": "337-288-0736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 CALDWELL SUGAR RD",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "705926698",
            "telephone_number": "337-288-0736",
            "fax_number": "337-892-1238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASSEAUX",
        "first_name": "PEPPER",
        "middle_name": "MARIE",
        "credential": "RVT-VT; RDMS-AB",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156F00000X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist",
            "state": "LA",
            "license": "98098",
            "primary": false
        },
        {
            "code": "246X00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular",
            "state": "LA",
            "license": "98098",
            "primary": false
        },
        {
            "code": "246XC2903X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular, Vascular Specialist",
            "state": "LA",
            "license": "98098",
            "primary": false
        },
        {
            "code": "246XS1301X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": "LA",
            "license": "98098",
            "primary": false
        },
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": "LA",
            "license": "98098",
            "primary": false
        },
        {
            "code": "2471V0105X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": "LA",
            "license": "98098",
            "primary": true
        },
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "LA",
            "license": "98098",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "emsow.com",
            "affiliation": "N",
            "endpointDescription": "cloud PACS",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "PACS",
            "address_1": "218 Caldwell Sugar Rd",
            "city": "Youngsville",
            "state": "LA",
            "country_code": "US",
            "postal_code": "705926698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "PEPPER",
            "last_name": "SMITH",
            "middle_name": "MARIE",
            "credential": "RVT-VT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kennedie C Bourque
• Taylor Boutte
• Tracy L Bouy, DPT, MTC
• Erin Nicole Boyne, M.A. CCC-SLP
• Lauren Bradley, NP
• Shelby Boesch Breaux
• Naya Brooks
• Brookshire Grocery Company (Super 1 Pharmacy #645)
• Amber Broussard
• Catherine Boudreaux Broussard, M.D.

• Radiologic Technologist in Youngsville, LA
• Providers in Youngsville, LA by specialty
• Radiologic Technologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.