Active NPI
Matthew Bruhn, PA
- Physician Assistant
- Hammond, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 324782
- Practice address
- 15813 Paul Vega MD Dr Ste 100
Hammond, LA 70403-1431 - Phone
- (985) 230-2663
- Fax
- (985) 230-2665
- NPI assigned
- Oct 12, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 324782 | LA | Primary |
| Physician Assistant | 363A00000X | 1179318 | LA |
Addresses
Primary practice location
15813 Paul Vega MD Dr Ste 100
Hammond, LA 70403-1431
Mailing address
PO Box 3087
Hammond, LA 70404-3087
Phone (985) 230-3668
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2541668 | Medicaid | LA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://soapproxyprd.northoaks.org/nohsfhir/api/FHIR/R4/ | North Oaks Physician Group, LLC |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15790 Paul Vega MD Dr
Hammond, LA 70403-1434
Phone (985) 230-1683
Hospital & facility affiliations
- North Oaks Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.91 of 100
- Quality
- 78.17
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 67.71
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1179318 | LA | MD | Physician Assistant |
| 324782 | LA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Oaks Medical Center, LLC | Current | Accepting new patients | |
| North Oaks Physician Group, LLC | Current | Accepting new patients | |
| North Oaks Physician Group, LLC | Current | Accepting new patients |
Locations
15784 Medical Arts Dr
Ste B
Hammond, LA 70403
Phone (985) 230-7400
15813 Paul Vega Md Dr
Ste 402
Hammond, LA 70403
Phone (985) 230-7350
15790 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 230-1682
15813 Paul Vega Md Dr
Ste 200
Hammond, LA 70403
Phone (985) 230-7650
15784 Medical Arts Dr
Hammond, LA 70403
15813 Paul Vega Md Dr
Hammond, LA 70403
15813 Paul Vega Md Dr
Ste 401B
Hammond, LA 70403
Phone (985) 230-7870
15813 Paul Vega Md Dr
Ste 100
Hammond, LA 70403
Phone (985) 230-2663
17199 Spring Ranch Rd
Ste 100
Livingston, LA 70754
Phone (225) 686-4900
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Hammond, LA
- NPI 1972630705
-
- Multi-Specialty Clinic/Center
- Hammond, LA
- NPI 1427035211
-
- Nephrology Physician
- Hammond, LA
- NPI 1356307862
-
- Urgent Care Clinic/Center
- Hammond, LA
- NPI 1144817487
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Hammond, LA
- NPI 1144227539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716336000000",
"number": "1669070769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3087",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704043087",
"telephone_number": "985-230-3668",
"fax_number": "985-370-7409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15813 PAUL VEGA MD DR STE 100",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704031431",
"telephone_number": "985-230-2663",
"fax_number": "985-230-2665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUHN",
"first_name": "MATTHEW",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-12",
"last_updated": "2024-05-22",
"certification_date": "2024-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "LA",
"license": "324782",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "LA",
"license": "1179318",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2541668",
"state": "LA"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://soapproxyprd.northoaks.org/nohsfhir/api/FHIR/R4/",
"affiliation": "Y",
"affiliationName": "North Oaks Physician Group, LLC",
"address_1": "15813 Paul Vega Md Dr Ste 401B",
"city": "Hammond",
"state": "LA",
"country_code": "US",
"postal_code": "704031426",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hammond, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.