Individual provider Active NPI

Brandon-Luke Labron Seagle, M.D.

  • Obstetrics & Gynecology Physician
  • Americus, GA
National Provider Identifier
1609175272
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
081091 Issued in GA
Practice address
100 Plantation Ridge Dr
Americus, GA 31709-5283
Phone
(229) 474-6933
NPI assigned
Mar 22, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 081091 GA Primary

Addresses

Primary practice location

100 Plantation Ridge Dr
Americus, GA 31709-5283

Mailing address

100 Plantation Ridge Dr
Americus, GA 31709-5283
Phone (229) 474-6933

Other practice location 1

2701 Meredyth Dr
Albany, GA 31707
Phone (229) 883-7010

Other practice location 2

24 Hospital Ave
Department of OB/GYN
Danbury, CT 06810
Phone (216) 347-1441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20180910002085 GA Practitioner - Obstetrics/Gynecology 8628229085 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Stanford University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southland Uro Gynecology, LLCGroup PAC ID 0446642995, 8 clinicians

Practice addresses (Care Compare)

100 Plantation Ridge Dr
Apt D
Americus, GA 31709-5282
Phone (229) 474-6933

Hospital & facility affiliations

  • Crisp Regional Hospital Hospital, Cordele, GA, CCN 110104
  • Phoebe Putney Memorial Hospital Hospital, Albany, GA, CCN 110007

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
081091GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southland Uro Gynecology ,LLC Obstetrics & Gynecology CurrentSince Jan 31, 2022 Accepting new patients
Obhg Georgia, P.C. Obstetrics & Gynecology CurrentSince Jun 29, 2023 Accepting new patients
The Veranda, PC Obstetrics & Gynecology CurrentSince Jul 24, 2018 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

2701 Meredyth Dr
Albany, GA 31707
Phone (229) 883-7010

2411 Westgate Dr
Albany, GA 31707
Phone (229) 461-5926

100 Plantation Ridge Dr
Apt D
Americus, GA 31709
Phone (229) 474-6933

100 Plantation Ridge Dr
Americus, GA 31709
Phone (229) 474-6933

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

108 E 4th Ave
Cordele, GA 31015
Phone (229) 276-2190

2024 E Pinetree Blvd
Thomasville, GA 31792
Phone (229) 236-3339

2024 E Pinetree Blvd
Ste E
Thomasville, GA 31792
Phone (229) 474-6933

2704 N Oak St
Bldg C2
Valdosta, GA 31602
Phone (229) 247-2122

237 Smithville Church Rd
Ste 100
Warner Robins, GA 31088
Phone (478) 238-5513

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/DBFFCD
  • Direct secure messaging: brandonluke.seagle@sug.eclinicaldirectplus.com

Organizations & group practices 4

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 2

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": "1300752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1609175272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PLANTATION RIDGE DR",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317095283",
            "telephone_number": "229-474-6933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PLANTATION RIDGE DR",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317095283",
            "telephone_number": "229-474-6933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2701 Meredyth Dr",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "GA",
            "postal_code": "31707",
            "country_code": "US",
            "telephone_number": "229-883-7010",
            "fax_number": "229-435-4022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24 Hospital Ave",
            "address_2": "Department of OB/GYN",
            "address_purpose": "LOCATION",
            "city": "Danbury",
            "state": "CT",
            "postal_code": "06810",
            "country_code": "US",
            "telephone_number": "216-347-1441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEAGLE",
        "first_name": "BRANDON-LUKE",
        "middle_name": "LABRON",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-22",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "081091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Americus, GA

Sources for this page

Verify at the official NPI Registry.