Individual provider Active NPI

Charles Marion Lobrano III, MD

  • Orthopaedic Surgery Physician
  • Shreveport, LA
National Provider Identifier
1891013637
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
301792 Issued in LA
Practice address
1500 Line Ave Ste 100
Shreveport, LA 71101-4644
Phone
(318) 635-3052
Fax
(318) 635-3072
NPI assigned
May 4, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Orthopaedic Surgery Physician 207X00000X 301792 LA Primary

Addresses

Primary practice location

1500 Line Ave Ste 100
Shreveport, LA 71101-4644

Mailing address

1534 Elizabeth Ave Ste 301
Shreveport, LA 71101-4531
Phone (318) 629-5001

Other practice location 1

603 Picketts Mill Dr
Shreveport, LA 71115-3863
Phone (225) 931-5556

Other practice location 2

2005 Landry Dr
Bossier City, LA 71111-3169
Phone (318) 752-7850

Other names 1

  • Chase Lobrano Other name

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
I20170616001407 LA Practitioner - Orthopedic Surgery 8820394174 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Louisiana State University School of Medicine in Shreveport, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cornerstone Therapy and Balance Center, LLCGroup PAC ID 0345397899, 98 clinicians

Practice addresses (Care Compare)

1500 Line Ave
Suite 100
Shreveport, LA 71101-4644
Phone (318) 635-3052

1541 Kings Hwy
Shreveport, LA 71103-4228
Phone (318) 675-5000

8961 Youree Dr
Shreveport, LA 71115-3001
Phone (318) 671-8772

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement75
Knee replacement78
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lsu Health Sciences Center Shreveport Faculty Group Practice Orthopaedic Surgery CurrentSince Mar 1, 2018 Accepting new patients
Musculoskeletal Institute of Louisiana, LLC Orthopaedic Surgery CurrentSince Aug 1, 2017 Accepting new patients
Musculoskeletal Institute of Louisiana, L.L.C. Orthopaedic Surgery CurrentSince Aug 1, 2017 Accepting new patients
Brfhh Shreveport LLC Past Accepting new patients

Locations

2005 Landry Dr
Bossier City, LA 71111
Phone (318) 752-7850

1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402

1500 Line Ave
Ste 100
Shreveport, LA 71101
Phone (318) 635-3052

1534 Elizabeth Ave
Ste 301
Shreveport, LA 71101
Phone (318) 629-5002

1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287

Interoperability endpoints

  • Direct secure messaging: clobrano726640@direct.ochsner.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: charles.lobranoiiimd.p1@direct.msil.nextgenshare.com

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 10

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": "1272931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1891013637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1534 ELIZABETH AVE STE 301",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014531",
            "telephone_number": "318-629-5001",
            "fax_number": "318-629-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 LINE AVE STE 100",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014644",
            "telephone_number": "318-635-3052",
            "fax_number": "318-635-3072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "603 Picketts Mill Dr",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711153863",
            "country_code": "US",
            "telephone_number": "225-931-5556",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2005 Landry Dr",
            "address_purpose": "LOCATION",
            "city": "Bossier City",
            "state": "LA",
            "postal_code": "711113169",
            "country_code": "US",
            "telephone_number": "318-752-7850",
            "fax_number": "318-752-7855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOBRANO",
        "first_name": "CHARLES",
        "middle_name": "MARION",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-04",
        "last_updated": "2022-07-21",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "LA",
            "license": "301792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHASE",
            "last_name": "LOBRANO",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.