Individual provider Active NPI

Brandt Michael Zimmer, M.D.

  • Diagnostic Radiology Physician
  • Metairie, LA
National Provider Identifier
1982793899
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
021296 Issued in LA
Practice address
3625 Houma Blvd
Metairie, LA 70006-4229
Phone
(504) 888-7921
Fax
(504) 883-5384
NPI assigned
Oct 11, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 021296 LA Primary

Addresses

Primary practice location

3625 Houma Blvd
Metairie, LA 70006-4229

Mailing address

4241 Veterans Blvd
Suite 200
Metairie, LA 70006
Phone (504) 459-3230

Other identifiers 2

IdentifierTypeStateIssuer
1983977MedicaidLA
021296OtherLALICENSE NUMBER

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
I20041211000002 LA Practitioner - Diagnostic Radiology 9335106350 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Louisiana State University School of Medicine in New Orleans, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diagnostic Imaging ServicesGroup PAC ID 7618872102, 22 clinicians

Practice addresses (Care Compare)

4241 Veterans Blvd
Metairie, LA 70006-5430
Phone (504) 888-7921

4241 Veterans Memorial Blvd
Suite 201
Metairie, LA 70006-5430

71154 Hwy 21
Covington, LA 70433-7161
Phone (985) 643-5476

Merit-based Incentive Payment System (MIPS)

Final score
22.08 of 100Reported as individual
Quality
8.33
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
021296LAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairway Medical Center, LLC Diagnostic Radiology CurrentSince Jan 20, 2021 Accepting new patients
Doctors Imaging Services, LLC Diagnostic Radiology CurrentSince Dec 1, 2021 Accepting new patients
Northeast Imaging Center CurrentSince Jun 1, 2018 Accepting new patients
River Bend Imaging LLC CurrentSince Jan 1, 2022 Accepting new patients
Diagnostic Imaging Services CurrentSince Dec 16, 2013 Accepting new patients
Central Imaging Center, LLC CurrentSince Jan 1, 2022 Accepting new patients
Bluebonnet Imaging Center, LLC CurrentSince Jan 1, 2022 Accepting new patients
Jefferson Radiology Associates, Inc Diagnostic Radiology Past Accepting new patients
Radiology Specialists LLC Diagnostic Radiology Past Accepting new patients

Locations

67252 Industry Ln
Covington, LA 70433
Phone (985) 801-0259

71154 Highway 21
Covington, LA 70433
Phone (985) 463-5476

3625 Houma Blvd
Metairie, LA 70006
Phone (504) 648-0270

4204 Teuton St
Metairie, LA 70006
Phone (504) 455-6310

4241 Veterans Memorial Blvd
Ste 100
Metairie, LA 70006
Phone (504) 459-3222

4241 Veterans Memorial Blvd
Ste 201
Metairie, LA 70006

4241 Vets Blvd
Ste 200
Metairie, LA 70006

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982793899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4241 VETERANS BLVD",
            "address_2": "SUITE 200",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70006",
            "telephone_number": "504-459-3230",
            "fax_number": "504-883-5384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 HOUMA BLVD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700064229",
            "telephone_number": "504-888-7921",
            "fax_number": "504-883-5384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMER",
        "first_name": "BRANDT",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "021296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1983977",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "021296",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.