Individual provider Active NPI

Brandon J Mauldin

  • Internal Medicine Physician
  • New Orleans, LA
National Provider Identifier
1558655670
Registry record updated May 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD.207758 Issued in LA
Practice address
1430 Tulane Ave
SL-16
New Orleans, LA 70112-2632
Phone
(321) 961-4380
NPI assigned
Jun 6, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD.207758 LA Primary

Addresses

Primary practice location

1430 Tulane Ave
SL-16
New Orleans, LA 70112-2632

Mailing address

1430 Tulane Ave
SL-16
New Orleans, LA 70112-2632
Phone (321) 961-4380

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
I20150917000446 LA Practitioner - Internal Medicine 9638486012 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Florida College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1415 Tulane Ave
New Orleans, LA 70112-2600
Phone (504) 988-5800

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Administrators of the Tulane Educational Fund CurrentSince Jul 22, 2015 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Jul 22, 2015 Accepting new patients
East Jefferson Physicians Group LLC Internal Medicine CurrentSince Jun 15, 2023 Accepting new patients
In and Out Urgent Care, LLC CurrentSince Jul 22, 2015 Accepting new patients
Metairie Physician Services Inc. Internal Medicine Past Accepting new patients
University Healthcare System, L.C. Past Accepting new patients

Locations

4228 Houma Blvd
Ste 530
Metairie, LA 70006
Phone (504) 456-8415

4200 Houma Blvd
Fl 6
Metairie, LA 70006
Phone (504) 503-4331

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

4320 Houma Blvd
Fl 6
Metairie, LA 70006
Phone (504) 503-4109

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

1430 Tulane Ave
#16
New Orleans, LA 70112
Phone (504) 988-1940

6225 S Claiborne Ave
New Orleans, LA 70125
Phone (504) 864-8080

1450 Poydras St
New Orleans, LA 70112
Phone (504) 903-2373

Organizations & group practices 6

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 4

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

NPI Registry JSON

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431648000000",
    "number": "1558655670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 TULANE AVE",
            "address_2": "SL-16",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122632",
            "telephone_number": "321-961-4380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 TULANE AVE",
            "address_2": "SL-16",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122632",
            "telephone_number": "321-961-4380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAULDIN",
        "first_name": "BRANDON",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-06",
        "last_updated": "2015-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD.207758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.