Organization Active NPI

Brian N. Brogle, M.D, LLC

  • Urology Physician
  • La Place, LA
National Provider Identifier
1659461689
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
09757R Issued in LA
Legal business name
BRIAN N. BROGLE, M.D, LLC
Practice address
502 Rue de Sante
Suite 103
La Place, LA 70068-5424
Phone
(985) 651-8600
NPI assigned
Oct 13, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Brian N. Brogle, M.D.NPI 1316922131
Title
Owner/Physician
Phone
(985) 651-8600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 09757R LA Primary

Addresses

Primary practice location

502 Rue de Sante
Suite 103
La Place, LA 70068-5424

Mailing address

502 Rue de Sante
Suite 103
La Place, LA 70068-5424
Phone (985) 651-8600

National Provider Directory

National Provider Directory

Locations

502 Rue de Sante
Ste 103
La Place, LA 70068
Phone (985) 651-8600

1057 Paul Maillard Rd
#220
Luling, LA 70070
Phone (985) 785-5620

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659461689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 RUE DE SANTE",
            "address_2": "SUITE 103",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700685424",
            "telephone_number": "985-651-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 RUE DE SANTE",
            "address_2": "SUITE 103",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700685424",
            "telephone_number": "985-651-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN N. BROGLE, M.D, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROGLE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "985-651-8600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "LA",
            "license": "09757R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Place, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.