Individual provider Active NPI

Brian Douglas Smith, CRNA

  • Certified Registered Nurse Anesthetist
  • Bogalusa, LA
National Provider Identifier
1710125422
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP05705 Issued in LA
Practice address
433 Plaza St
Bogalusa, LA 70427-3729
Phone
(985) 730-6700
Fax
(985) 730-6713
NPI assigned
Feb 3, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN089953 LA
Certified Registered Nurse Anesthetist 367500000X AP05705 LA Primary

Addresses

Primary practice location

433 Plaza St
Bogalusa, LA 70427-3729

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (985) 730-6700

Other practice location 1

3510 N Causeway Blvd
Suite 404
Metairie, LA 70002-3531
Phone (504) 779-5515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090423000761 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7810045291 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Childrens Hospital Anesthesia CorporationGroup PAC ID 0446152862, 281 clinicians

Practice addresses (Care Compare)

4200 Houma Blvd
Metairie, LA 70006-2970
Phone (504) 613-0711

433 Plaza St
Bogalusa, LA 70427-3729
Phone (985) 730-6706

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Jul 18, 2022 Accepting new patients
Aec Physicians, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2009 Accepting new patients
Total Anesthesia Care STPH, LLC CurrentSince Aug 17, 2020 Accepting new patients
Ochsner Clinic LLC CurrentSince Jul 18, 2022 Accepting new patients
Childrens Hospital Anesthesia Corporation CurrentSince May 1, 2019 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Zephyr Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2023 Accepting new patients
Wash-St Tammany Reg Medical Center Nurse Anesthetist, Certified Registered Current Accepting new patients
Washington St. Tammany Regional Medical Center Past Accepting new patients

Locations

323 W Walnut Ave
Bastrop, LA 71220
Phone (318) 283-3600

433 Plaza St
Bogalusa, LA 70427
Phone (985) 730-6700

8000 W Judge Perez Dr
Chalmette, LA 70043
Phone (504) 493-6078

120 Innwood Dr
Covington, LA 70433

95 Judge Tanner Blvd
Covington, LA 70433
Phone (504) 867-3800

1202 S Tyler St
Covington, LA 70433
Phone (985) 898-3743

694 Belle Terre Blvd
La Place, LA 70068
Phone (985) 359-6694

1645 Lutcher Ave
Lutcher, LA 70071
Phone (225) 258-5901

4700 S I 10 Svc Rd W
Metairie, LA 70001
Phone (504) 780-6453

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

3717 Houma Blvd
Ste 200
Metairie, LA 70006
Phone (504) 885-7676

200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860

2701 Napoleon Ave
New Orleans, LA 70115
Phone (504) 267-2805

1514 Jefferson Hwy
New Orleans, LA 70121

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

1717 Saint Charles Ave
New Orleans, LA 70130
Phone (504) 529-6600

Organizations & group practices 10

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 4

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": "1233619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1710125422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "985-730-6700",
            "fax_number": "225-765-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 PLAZA ST",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704273729",
            "telephone_number": "985-730-6700",
            "fax_number": "985-730-6713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3510 N Causeway Blvd",
            "address_2": "Suite 404",
            "address_purpose": "LOCATION",
            "city": "Metairie",
            "state": "LA",
            "postal_code": "700023531",
            "country_code": "US",
            "telephone_number": "504-779-5515",
            "fax_number": "504-779-5568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRIAN",
        "middle_name": "DOUGLAS",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-03",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "RN089953",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "AP05705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bogalusa, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.