Michael Nelson Brothers, M.D.

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

05390R Issued in LA

Practice address

4228 Houma Blvd Ste 130
Metairie, LA 70006-3003

Phone

(504) 454-2222

Fax

(504) 454-2388

NPI assigned

Jul 28, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: michael.brothers@direct.ejgh.org

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.

• University Healthcare System, L.C.

  • Community/Retail Pharmacy
  • Metairie, LA
  • NPI 1619446580
  NPD (past)

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592265600000",
    "number": "1972503308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4228 HOUMA BLVD",
            "address_2": "STE 130",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700063003",
            "telephone_number": "504-454-2222",
            "fax_number": "504-454-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4228 HOUMA BLVD STE 130",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700063003",
            "telephone_number": "504-454-2222",
            "fax_number": "504-454-2388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROTHERS",
        "first_name": "MICHAEL",
        "middle_name": "NELSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "LA",
            "license": "05390R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1370207",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Brooks, LPC
• Ronnie Brooks, M.A, BCBA
• Tyra Brooks
• Kimbery Broome
• Bianca Broomfield
• Rita Broughton, LPN
• Lynn Brouillette
• Colleen Elaine Broussard, CCC-SLP
• Courtney J Broussard, CRNA
• Crystal Broussard, PHD, LCSW

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Metairie, LA
• Providers in Metairie, LA by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.