Individual provider Active NPI

Brandon A. Leggio, MD

  • Student in an Organized Health Care Education/Training Program
  • Shreveport, LA
National Provider Identifier
1881058956
Registry record updated Apr 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
1501 Kings Hwy
OB/GYN
Shreveport, LA 71103-4228
Phone
(318) 675-8700
Fax
(318) 675-8706
NPI assigned
Apr 5, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

1501 Kings Hwy
OB/GYN
Shreveport, LA 71103-4228

Mailing address

1501 Kings Hwy
OB/GYN
Shreveport, LA 71103-4228
Phone (318) 675-8700

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
I20200922001943 LA Practitioner - Obstetrics/Gynecology 8123311065 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Louisiana State University School of Medicine in Shreveport, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

Practice addresses (Care Compare)

4150 Nelson Rd
Suite G
Lake Charles, LA 70605-4133
Phone (337) 562-3761

Hospital & facility affiliations

  • Christus Ochsner Lake Area Hospital Hospital, Lake Charles, LA, CCN 190201
  • Christus Ochsner St Patrick Hospital Hospital, Lake Charles, LA, CCN 190027
  • Lake Charles Memorial Hospital Hospital, Lake Charles, LA, CCN 190060

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Jul 27, 2020 Accepting new patients
Ochsner Clinic LLC CurrentSince Jul 27, 2020 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Obhg Louisiana, LLC CurrentSince Jan 1, 2022 Accepting new patients
Christus Health Southwestern Louisiana Past Accepting new patients

Locations

3330 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6917

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

4150 Nelson Rd
Ste G
Lake Charles, LA 70605
Phone (337) 310-0440

4200 Nelson Rd
Lake Charles, LA 70605
Phone (318) 474-6370

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

1514 Jefferson Hwy
New Orleans, LA 70121

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

Organizations & group practices 5

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 9

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": "1459814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459814400000",
    "number": "1881058956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 KINGS HWY",
            "address_2": "OB/GYN",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034228",
            "telephone_number": "318-675-8700",
            "fax_number": "318-675-8706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 KINGS HWY",
            "address_2": "OB/GYN",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034228",
            "telephone_number": "318-675-8700",
            "fax_number": "318-675-8706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGGIO",
        "first_name": "BRANDON",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-05",
        "last_updated": "2016-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.