Active NPI
Brian Thomas Stout, MD
- Emergency Medicine Physician
- Baton Rouge, LA
National Provider Identifier
1689632739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME125826
- Practice address
- 5000 Hennessy Blvd
Baton Rouge, LA 70808-4375 - Phone
- (225) 765-8853
- Fax
- (225) 765-1700
- NPI assigned
- May 1, 2006
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 236034 | NY | |
| Pediatrics Physician | 208000000X | MD.203274 | LA | |
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | MD.203274 | LA | |
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | 236034 | NY | |
| Emergency Medicine Physician | 207P00000X | ME125826 | FL | Primary |
Addresses
Primary practice location
5000 Hennessy Blvd
Baton Rouge, LA 70808-4375
Mailing address
5000 Hennessy Blvd
Baton Rouge, LA 70808-4375
Phone (225) 765-8853
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1802875 | Medicaid | LA | |
| 03386886 | Medicaid | MS | |
| 02647703 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Panhandle Emergency Physicians a Div of Sacred Heart Hosp Pensacola | Emergency Medicine | Current | Accepting new patients |
| Cep America, LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
| Cep America LLC | Emergency Medicine | Current | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
7800 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 267-1603
5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700
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.
-
- Emergency Medicine Physician
- Miramar Beach, FL
- NPI 1295442614
-
- Emergency Medicine Physician
- Pensacola, FL
- NPI 1215948096
-
- Emergency Medicine Physician
- Jacksonville, FL
- NPI 1043907033
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707350400000",
"number": "1689632739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 HENNESSY BLVD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708084375",
"telephone_number": "225-765-8853",
"fax_number": "225-765-1700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 HENNESSY BLVD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708084375",
"telephone_number": "225-765-8853",
"fax_number": "225-765-1700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOUT",
"first_name": "BRIAN",
"middle_name": "THOMAS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-01",
"last_updated": "2024-02-08",
"certification_date": "2024-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "236034",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "LA",
"license": "MD.203274",
"primary": false
},
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "LA",
"license": "MD.203274",
"primary": false
},
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "NY",
"license": "236034",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME125826",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1802875",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03386886",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02647703",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.