Bradley T Collins, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

017242 Issued in LA

Practice address

4228 Houma Blvd
Suite 600D
Metairie, LA 70006-3000

Phone

(504) 885-3003

Fax

(504) 885-3004

NPI assigned

Apr 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Jefferson Medical Group, LLC

  • Internal Medicine Physician
  • Metairie, LA
  • NPI 1912962150
  NPD (past) Authorized official
• East Jefferson General Hospital

  • Institutional Pharmacy
  • Metairie, LA
  • NPI 1295014090
  NPD (past)
• East Jefferson Physicians Group LLC

  • Internal Medicine Physician
  • New Orleans, LA
  • NPI 1922293372
  NPD (past)
• Louisiana State University School of Medicine in New Orleans Faculty G

  dba LSU Healthcare Network

  • Multi-Specialty Clinic/Center
  • New Orleans, LA
  • NPI 1477582526
  NPD (past)
• Metairie Physician Services Inc.

  • Internal Medicine Physician
  • Metairie, LA
  • NPI 1801233648
  NPD (past)
• Ochsner Clinic LLC

  • General Practice Physician
  • New Orleans, LA
  • NPI 1538151428
  NPD (past)

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490659200000",
    "number": "1629034541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54877",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701544877",
            "telephone_number": "504-889-7240",
            "fax_number": "504-889-7180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4228 HOUMA BLVD",
            "address_2": "SUITE 600D",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700063000",
            "telephone_number": "504-885-3003",
            "fax_number": "504-885-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "BRADLEY",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2017-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "017242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1358703",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mariah Collette, MD
• Tony Gerard Colletti
• Edward Allen Collier II, CNP
• Zia Collier
• Alyssa Nicole Collins, DPM
• Emily Marie Collins
• Hailey Cheyenne Collins, PLPC
• Janayvia Kerriunna Collins
• Jeannette A. Collins
• Jennifer Collins, DNP

• Internal Medicine Physician in Metairie, LA
• Providers in Metairie, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.