Individual provider Active NPI

Brandon James Mong, MD

  • Emergency Medicine Physician
  • Baton Rouge, LA
National Provider Identifier
1821452624
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
307578 Issued in LA
Practice address
5246 Brittany Dr
Lsu Olol Emergency Medicine
Baton Rouge, LA 70808
Phone
(225) 757-4210
Fax
(225) 757-4230
NPI assigned
Apr 7, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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 307578 LA Primary

Addresses

Primary practice location

5246 Brittany Dr
Lsu Olol Emergency Medicine
Baton Rouge, LA 70808

Mailing address

200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698

Other practice location 1

15790 Paul Vega Md Dr
Hammond, LA 70403-1436
Phone (985) 345-2700

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180515002413 LA Practitioner - Emergency Medicine 4385916816 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Louisiana State University School of Medicine in New Orleans, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Tammany Emergency Physicians Group LLCGroup PAC ID 7214255967, 41 clinicians
North Oaks Medical Center LLCGroup PAC ID 2466629522, shared by 7 NPIs, 317 clinicians
East Jefferson Emergency Management LLCGroup PAC ID 8325307937, 13 clinicians

Practice addresses (Care Compare)

1202 S Tyler St
Covington, LA 70433-2330
Phone (985) 898-4000

15790 Paul Vega MD Dr
Hammond, LA 70403-1434

4200 Houma Blvd
Metairie, LA 70006-2970
Phone (504) 454-4000

Hospital & facility affiliations

  • East Jefferson General Hospital Hospital, Metairie, LA, CCN 190176
  • North Oaks Medical Center Hospital, Hammond, LA, CCN 190015
  • St Tammany Parish Hospital Hospital, Covington, LA, CCN 190045

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Practice Partners Emergency Medicine CurrentSince Jul 1, 2020 Accepting new patients
North Oaks Medical Center, LLC Emergency Medicine CurrentSince May 30, 2025 Accepting new patients
East Jefferson Emergency Management LLC Emergency Medicine CurrentSince Oct 1, 2019 Accepting new patients
Foucher Emergency Group LLC Emergency Medicine CurrentSince Aug 4, 2019 Accepting new patients
St Martin Emergency Group LLC Emergency Medicine CurrentSince Aug 18, 2018 Accepting new patients
St Tammany Emergency Physicians Group LLC Emergency Medicine CurrentSince Jul 1, 2019 Accepting new patients
Red Stick Emergency Group LLC Emergency Medicine CurrentSince Aug 4, 2019 Accepting new patients
Eunice Emergency Group LLC Emergency Medicine CurrentSince Apr 2, 2018 Accepting new patients
C & M Medical Services, Inc. CurrentSince Jul 20, 2018 Accepting new patients
North Oaks Medical Center, LLC Emergency Medicine CurrentSince Feb 3, 2025 Accepting new patients

Locations

3600 Florida St
Baton Rouge, LA 70806
Phone (225) 381-2615

8585 Picardy Ave
Baton Rouge, LA 70809
Phone (225) 763-4000

210 Champagne Blvd
Breaux Bridge, LA 70517
Phone (337) 332-2178

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

3501 Highway 190
Eunice, LA 70535
Phone (337) 580-7500

15790 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 230-1682

8120 Main St
Ste 203
Houma, LA 70360
Phone (985) 868-9960

8166 Main St
Houma, LA 70360
Phone (800) 456-9121

200 Corporate Blvd
Lafayette, LA 70508

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

1401 Foucher St
New Orleans, LA 70115
Phone (504) 897-7011

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

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 8

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": "1459987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1821452624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5246 BRITTANY DR",
            "address_2": "LSU OLOL EMERGENCY MEDICINE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70808",
            "telephone_number": "225-757-4210",
            "fax_number": "225-757-4230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15790 Paul Vega Md Dr",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "LA",
            "postal_code": "704031436",
            "country_code": "US",
            "telephone_number": "985-345-2700",
            "fax_number": "985-230-6652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONG",
        "first_name": "BRANDON",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-07",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "307578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.