Individual provider Active NPI

Robert Murray Branstetter Jr., DDS

  • General Practice Dentistry
  • Baton Rouge, LA
National Provider Identifier
1619056074
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2192 Issued in LA
Practice address
6155 Harry Dr
Baton Rouge, LA 70806-2539
Phone
(225) 924-4208
Fax
(225) 924-4209
NPI assigned
Nov 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2192 LA Primary

Addresses

Primary practice location

6155 Harry Dr
Baton Rouge, LA 70806-2539

Mailing address

6155 Harry Dr
Baton Rouge, LA 70806-2539
Phone (225) 924-4208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2192LAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1162598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619056074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6155 HARRY DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708062539",
            "telephone_number": "225-924-4208",
            "fax_number": "225-924-4209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6155 HARRY DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708062539",
            "telephone_number": "225-924-4208",
            "fax_number": "225-924-4209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANSTETTER",
        "first_name": "ROBERT",
        "middle_name": "MURRAY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "2192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.