BRANNON ELIZABETH WIEDEMANN M.D.
NPI 1689916462
Student in an Organized Health Care Education/Training Program in New Orleans, LA

Active since March 20, 2013PECOS Enrolled
1542 TULANE AVE, NEW ORLEANS, LA 70112(504) 568-6004 Get Directions Write a Review

NPPES record last updated: May 8, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Brannon Elizabeth Wiedemann M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRANNON ELIZABETH WIEDEMANN M.D. (NPI 1689916462) is an individual student in an organized health care education/training program in New Orleans, Louisiana and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689916462
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameBRANNON ELIZABETH WIEDEMANNCredential: M.D.
Location Address1542 TULANE AVENew Orleans, LA 70112-2865
Mailing Address2028 Camp StNew Orleans, LA 70130-5032 · (985) 630-8838
Sole ProprietorNo
Enumeration DateMarch 20, 2013
Last NPPES UpdateMay 8, 2018
✔ NPI 1689916462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License MD.207587 (LA)
1542 TULANE AVE, New Orleans, LA 70112

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brannon Elizabeth Wiedemann M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Brannon Wiedemann reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Specialist
1415 TULANE AVE
New Orleans, LA 70112
  • Reassigned Medicare billing, Louisiana enrollment
  • 851 clinicians in this Medicare group
Psychiatric Hospital
4502 HIGHWAY 951
Jackson, LA 70748
  • Reassigned Medicare billing, Louisiana enrollment
  • 26 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine (Geriatric Medicine)
1542 TULANE AVE, BOX T4M-2
NEW ORLEANS, LA 70112
Surgery (Trauma Surgery)
1542 TULANE AVE
NEW ORLEANS, LA 70112
Internal Medicine (Hematology & Oncology)
1542 TULANE AVE, RM 442 MAIL BOX T4M-2
NEW ORLEANS, LA 70112
Student in an Organized Health Care Education/Training Program
1542 TULANE AVE
NEW ORLEANS, LA 70112
Student in an Organized Health Care Education/Training Program
1542 TULANE AVE
NEW ORLEANS, LA 70112
Internal Medicine (Nephrology)
1542 TULANE AVE
NEW ORLEANS, LA 70112
Radiology (Diagnostic Radiology)
1542 TULANE AVE, RADIOLOGY, ROOM 353
NEW ORLEANS, LA 70112
Internal Medicine (Infectious Disease)
1542 TULANE AVE, RM. 331
NEW ORLEANS, LA 70112

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brannon Wiedemann's NPI number?

The NPI number for Brannon Wiedemann is 1689916462. It was assigned to this individual provider in the NPPES registry on March 20, 2013.

Where is Brannon Wiedemann located?

Brannon Wiedemann practices at 1542 Tulane Ave, New Orleans, LA 70112. The listed phone number is (504) 568-6004.

What is Brannon Wiedemann's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Brannon Wiedemann enrolled in Medicare?

Yes. Brannon Wiedemann is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Brannon Wiedemann's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brannon Wiedemann reassigns Medicare benefits to 2 organizations: Administrators Of The Tulane Educational Fund (New Orleans, LA) and East Louisiana State Hospital (Jackson, LA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brannon Wiedemann's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brannon Wiedemann accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Brannon Wiedemann as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brannon Wiedemann was last updated on May 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.