Individual provider Active NPI

Brenda M Mahon-Deri, MD

  • Emergency Medicine Physician
  • Metairie, LA
National Provider Identifier
1821187873
Registry record updated Jul 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
09859R Issued in LA
Practice address
3223 8TH St
Metairie, LA 70002-1623
Phone
(504) 833-7770
Fax
(504) 833-7796
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 09859R LA Primary

Addresses

Primary practice location

3223 8TH St
Metairie, LA 70002-1623

Mailing address

3223 8TH St
Metairie, LA 70002-1623
Phone (504) 833-7770

Other identifiers 1

IdentifierTypeStateIssuer
1491888MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040223001135 LA Practitioner - General SurgeryPractitioner - Emergency Medicine 0840186391 Reassigns benefits to 3 organizations
I20040322001367 TX Practitioner - Emergency Medicine 0840186391 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Louisiana State University School of Medicine in New Orleans, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dawson County Hospital DistrictGroup PAC ID 6800832155, 25 clinicians

Practice addresses (Care Compare)

2200 N Bryan Ave
Lamesa, TX 79331-2451
Phone (806) 872-2183

Hospital & facility affiliations

  • Medical Arts Hospital Hospital, Lamesa, TX, CCN 450489

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
09859RLAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dawson County Hospital District CurrentSince Jan 1, 2022 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Oct 26, 2015 Accepting new patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Oct 26, 2015 Accepting new patients
Dawson County Hospital District Current Accepting new patients
Stephens Memorial Hospital District Current Accepting new patients
Frio Hospital Association CurrentSince Jul 20, 2015 Accepting new patients
East Carroll Parish Hospital CurrentSince Apr 22, 2018 Accepting new patients
Correct Care, Inc. Emergency Medicine CurrentSince Sep 24, 2014 Accepting new patients
C & M Medical Services, Inc. CurrentSince Jan 1, 2002 Accepting new patients
Frio Hospital Association Emergency Medicine CurrentSince Jul 20, 2015 Accepting new patients
Stephens Memorial Hospital District CurrentSince Mar 17, 2018 Accepting new patients
Dawson County Hospital District CurrentSince Jan 1, 2022 Accepting new patients
Stephens Memorial Hospital District CurrentSince Mar 17, 2018 Accepting new patients
East Carroll Parish Hospital CurrentSince Apr 22, 2018 Accepting new patients
Nes Louisiana Inc Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Dallas PA Emergency Medicine Past Accepting new patients
Nes Louisiana Inc Emergency Medicine PastSince Jul 10, 2022 Accepting new patients

Locations

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

301 Memorial Dr
Donaldsonvlle, LA 70346
Phone (225) 473-7931

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

336 N Hood St
Lk Providence, LA 71254
Phone (318) 559-4023

3223 8th St
Metairie, LA 70002
Phone (504) 833-7770

2202 False River Dr
New Roads, LA 70760
Phone (225) 638-5702

1601 W 11th Pl
Big Spring, TX 79720
Phone (432) 263-1211

101 S Hartford St
Breckenridge, TX 76424
Phone (254) 559-3363

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

2200 N Bryan Ave
Lamesa, TX 79331
Phone (806) 872-2183

2202 N Bryan Ave
Lamesa, TX 79331
Phone (806) 872-7291

400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891

151 Medical Dr
Pearsall, TX 78061
Phone (830) 334-4126

305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 2

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247184000000",
    "number": "1821187873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3223 8TH ST",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700021623",
            "telephone_number": "504-833-7770",
            "fax_number": "504-833-7796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 8TH ST",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700021623",
            "telephone_number": "504-833-7770",
            "fax_number": "504-833-7796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHON-DERI",
        "first_name": "BRENDA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2009-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "09859R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1491888",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.