Active NPI
Neuro Diagnostic Monitoring, LLC
- Specialist
- Lafayette, LA
National Provider Identifier
1598030181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- NEURO DIAGNOSTIC MONITORING, LLC
- Practice address
- 106 Amaryllis Dr
Lafayette, LA 70503-3215 - Phone
- (337) 406-0883
- Fax
- (337) 406-0884
- NPI assigned
- Mar 14, 2012
- Last updated
- Jun 10, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Brandon M Landry, CNIM
- Title
- Owner
- Phone
- (225) 281-0222
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | LA | Primary |
Addresses
Primary practice location
106 Amaryllis Dr
Lafayette, LA 70503-3215
Mailing address
106 Amaryllis Dr
Lafayette, LA 70503-3215
Phone (337) 406-0883
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
106 Amaryllis Dr
Lafayette, LA 70503
Phone (337) 406-0883
4630 Ambassador Caffery Pkwy
Ste 402
Lafayette, LA 70508
Phone (337) 989-4453
850 Kaliste Saloom Rd
Ste 217
Lafayette, LA 70508
Phone (337) 406-0883
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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- Specialist
- Baton Rouge, LA
- NPI 1497940209
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Lafayette, LA
- NPI 1881953388
-
- Neurology Physician
- Gray, LA
- NPI 1750387676
-
- Neurology Physician
- Gray, LA
- NPI 1972509818
-
- Physical Medicine & Rehabilitation Physician
- Lake Charles, LA
- NPI 1154465300
-
- Neurological Surgery Physician
- Lafayette, LA
- NPI 1528183027
-
- Neurology Physician
- Guaynabo, PR
- NPI 1265556898
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331683200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1433894400000",
"number": "1598030181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 AMARYLLIS DR",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705033215",
"telephone_number": "337-406-0883",
"fax_number": "337-406-0884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 AMARYLLIS DR",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705033215",
"telephone_number": "337-406-0883",
"fax_number": "337-406-0884"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEURO DIAGNOSTIC MONITORING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-14",
"last_updated": "2015-06-10",
"status": "A",
"authorized_official_last_name": "LANDRY",
"authorized_official_first_name": "BRANDON",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "225-281-0222",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CNIM"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "LA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2015; 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.