Individual provider Active NPI

Brian Roberts, MD

  • Emergency Medicine Physician
  • Shreveport, LA
National Provider Identifier
1629211925
Registry record updated Jul 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
206580 Issued in LA
Practice address
1501 Kings Hwy
Department of Family Medicine - Alexandria
Shreveport, LA 71103-4228
Phone
(318) 675-5815
Fax
(318) 675-7715
NPI assigned
Apr 16, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 206580 LA Primary

Addresses

Primary practice location

1501 Kings Hwy
Department of Family Medicine - Alexandria
Shreveport, LA 71103-4228

Mailing address

1501 Kings Hwy
Department of Family Medicine - Alexandria
Shreveport, LA 71103-4228
Phone (318) 675-5815

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
I20140326000243 LA Practitioner - Emergency Medicine 5092960005 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Practice PartnersGroup PAC ID 4183909740, 80 clinicians

Practice addresses (Care Compare)

8166 Main St
Houma, LA 70360-3404
Phone (985) 873-4751

Hospital & facility affiliations

  • Terrebonne General Medical Center - Parish Hospital, Houma, LA, CCN 190008

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Practice Partners Emergency Medicine CurrentSince May 11, 2019 Accepting new patients
South Louisiana Medical Associates Emergency Medicine Current Accepting new patients
South Louisiana Medical Associates CurrentSince Oct 11, 2017 Accepting new patients
South Louisiana Medical Associates CurrentSince Oct 11, 2017 Accepting new patients
Michael E Isabelle MD Apmc Emergency Medicine Past Accepting new patients

Locations

1990 Industrial Blvd
Houma, LA 70363
Phone (985) 868-9300

8120 Main St
Ste 203
Houma, LA 70360
Phone (985) 868-9960

8166 Main St
Houma, LA 70360
Phone (800) 456-9121

Interoperability endpoints

  • Direct secure messaging: broberts408132@direct.ochsner.org

Organizations & group practices 5

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 1

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": "1239840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469664000000",
    "number": "1629211925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 KINGS HWY",
            "address_2": "DEPARTMENT OF FAMILY MEDICINE - ALEXANDRIA",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034228",
            "telephone_number": "318-675-5815",
            "fax_number": "318-675-7715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 KINGS HWY",
            "address_2": "DEPARTMENT OF FAMILY MEDICINE - ALEXANDRIA",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034228",
            "telephone_number": "318-675-5815",
            "fax_number": "318-675-7715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "BRIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-16",
        "last_updated": "2016-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "206580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.