Active NPI
Brandt Michael Zimmer, M.D.
- Diagnostic Radiology Physician
- Metairie, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 021296
- 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, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1983977 | Medicaid | LA | |
| 021296 | Other | LA | LICENSE 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
Enrollment records 1
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
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 100
- Quality
- 8.33
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021296 | LA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairway Medical Center, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Doctors Imaging Services, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Northeast Imaging Center | Current | Accepting new patients | |
| River Bend Imaging LLC | Current | Accepting new patients | |
| Diagnostic Imaging Services | Current | Accepting new patients | |
| Central Imaging Center, LLC | Current | Accepting new patients | |
| Bluebonnet Imaging Center, LLC | Current | 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.
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.