Active NPI
Brian Alan Guillory, M.D.
- Obstetrics & Gynecology Physician
- Covington, LA
National Provider Identifier
1649242702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 020197
- Practice address
- 110 Lakeview Dr Ste 200
Covington, LA 70433-7511 - Phone
- (985) 898-1940
- Fax
- (985) 809-0425
- NPI assigned
- Feb 3, 2006
- Last updated
- Jan 15, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 020197 | LA | Primary |
Addresses
Primary practice location
110 Lakeview Dr Ste 200
Covington, LA 70433-7511
Mailing address
110 Lakeview Dr Ste 200
Covington, LA 70433-7511
Phone (985) 273-3000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G3579 | Other | LA | BLUE CROSS/BLUE SHIELD |
| 1929441 | Medicaid | LA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050304000519 | LA | Practitioner - Obstetrics/Gynecology | 1456300730 | Practice locations: Covington, LA |
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Louisiana State University School of Medicine in New Orleans, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
110 Lakeview Dr
Suite 200
Covington, LA 70433-7511
Phone (985) 273-3000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Healthcare System, L.C. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba East Jefferson General Hospital
- General Acute Care Hospital
- Metairie, LA
- NPI 1497792527
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Hammond, LA
- NPI 1144227539
-
dba St Tammany Physicians Network
- Internal Medicine Physician
- Covington, LA
- NPI 1083793582
Hospital
-
dba Northlake Pulmonary Associates at St Tammany Parish Hospital
- Pulmonary Disease Physician
- Covington, LA
- NPI 1285285874
Hospital
-
dba St. Tammany Parish Hospital
- General Acute Care Hospital
- Covington, LA
- NPI 1598798597
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1033611454
-
dba East Jefferson General Hospital
- General Acute Care Hospital
- Metairie, LA
- NPI 1497792527
-
dba Lakeview Regional Behavioral Health
- Psychiatric Hospital Unit
- Covington, LA
- NPI 1790722825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579046400000",
"number": "1649242702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 LAKEVIEW DR STE 200",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704337511",
"telephone_number": "985-273-3000",
"fax_number": "985-809-0425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 LAKEVIEW DR STE 200",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704337511",
"telephone_number": "985-898-1940",
"fax_number": "985-809-0425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUILLORY",
"first_name": "BRIAN",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-03",
"last_updated": "2020-01-15",
"certification_date": "2020-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "LA",
"license": "020197",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "G3579",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1929441",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Covington, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.