Brittany Allyson Bozzell, PA-C
Individual provider Active NPI Physician Assistant · New Orleans, LA
NPI 1740899400 · NPPES record last updated Dec 28, 2022
Key facts
- NPI
- 1740899400
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 324365 (LA)
- Practice address
- 1514 Jefferson Hwy
New Orleans, LA 70121-2429 - Phone
- (225) 287-2736
- NPI assigned
- Jul 29, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 9
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200928002294 | LA | Practitioner - Physician Assistant | 5193144970 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PENDING | LA | MD | Behavioral Analyst |
| 324365 | LA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Clinic LLC | Current |
Accepting new patients | |
| Ochsner Clinic LLC | Current |
Accepting new patients | |
| University Health Shreveport LLC | Current |
Accepting new patients | |
| University Health Shreveport LLC | Physician Assistant | Current |
Accepting new patients |
| Applegate Health Services, Inc | Past | Accepting new patients | |
| Applegate Health Services, Inc. | Past | Accepting new patients | |
| Applegate Health Services, Inc. | Past | Accepting new patients |
Locations
1514 Jefferson Hwy
New Orleans, LA 70121
104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211
1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402
1512 W Kirby Pl
Shreveport, LA 71103
Phone (318) 626-0177
1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PENDING | LA | |
| Physician Assistant | 363A00000X | 324365 | LA | Yes |
Addresses
Primary practice location
1514 Jefferson Hwy
New Orleans, LA 70121-2429
Mailing address
1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-4000
Other practice location 1
1541 Kings Hwy
Shreveport, LA 71103-4228
Phone (225) 287-2736
Other providers in New Orleans, LA
- Ahmad Boykins
- Mea Boykins
- Briana Boyle
- Patrick Stephen Boyle
- Elizabeth Maria Bozner
- BP Medical LLC
- Jennifer N Braaten
- Laura Braby
- Joyce Bracey
- Mariena Bracey
All providers in New Orleans, LA · Physician Assistant in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.