Organization Active NPI

Brett C Budden MD LLC

  • Retina Specialist (Ophthalmology) Physician
  • Metairie, LA
National Provider Identifier
1902560394
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
Legal business name
BRETT C BUDDEN MD LLC
Practice address
4740 S I 10 Service Rd W Ste 130
Metairie, LA 70001-1214
Phone
(337) 257-5864
NPI assigned
Oct 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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

Authorized official

Name
Dr. Brett C Budden, MDNPI 1164797411
Title
Owner
Phone
(337) 257-5864

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207WX0107X Primary

Addresses

Primary practice location

4740 S I 10 Service Rd W Ste 130
Metairie, LA 70001-1214

Mailing address

5839 Argonne Blvd
New Orleans, LA 70124-3731
Phone (337) 257-5864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211111002021 LA Part B Supplier - Clinic/Group Practice 7416346564 Receives reassigned benefits from 2 practitioners
Practice locations: Marrero, LA; Metairie, LA

National Provider Directory

National Provider Directory

Locations

4740 S I 10 Service Rd W
Ste 1
Metairie, LA 70001

4740 S I 10 Svc Rd W
Ste 130
Metairie, LA 70001
Phone (337) 257-5864

1514 Jefferson Hwy
Rm 634
New Orleans, LA 70121
Phone (504) 842-7518

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634860800000",
    "number": "1902560394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5839 ARGONNE BLVD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701243731",
            "telephone_number": "337-257-5864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4740 S I 10 SERVICE RD W STE 130",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700011214",
            "telephone_number": "337-257-5864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRETT C BUDDEN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-22",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A",
        "authorized_official_last_name": "BUDDEN",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-257-5864",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.