BRANDON LANE PHILLIPS MD - NPI 1881893808 - Pediatrics in West Monroe, LA

Q: What is Brandon Phillips's NPI number?

The NPI number for Brandon Phillips is 1881893808. It was assigned to this individual provider in the NPPES registry on July 11, 2007.

Q: What is Brandon Phillips's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Q: When was this NPI record last updated?

The NPPES record for Brandon Phillips was last updated on November 1, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Brandon Lane Phillips Md NPPES

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

BRANDON LANE PHILLIPS MD (NPI 1881893808) is an individual pediatric cardiology provider in West Monroe, Louisiana, licensed in Louisiana (303412) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Monroe.

NPPES Registry Identity

NPI1881893808

Entity TypeIndividualMale

Primary Taxonomy2080P0202X

Provider Legal NameBRANDON LANE PHILLIPSCredential: MD

Location Address300 PAVILION RDWest Monroe, LA 71292-9470

Mailing Address1514 Jefferson HwyNew Orleans, LA 70121-2429 · (504) 842-4000

Phone(318) 323-1100

Sole ProprietorNo

Enumeration DateJuly 11, 2007

Last NPPES UpdateNovember 1, 20225 updates tracked since enumeration

NPPES CertifiedNovember 1, 2022

✔ NPI 1881893808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0202X

Licenses✔ Licensed in LA · 303412✔ Licensed in TX · N5944

Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

300 PAVILION RD, West Monroe, LA 71292

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Secondary Practice Location 1

Location 1309 Jackson StMonroe, LA 71201-7407 · Phone (318) 323-1100 · Fax (318) 323-1161

Other Identifiers 2

Medicaid09731876MS

Medicaid2430718LA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brandon Lane Phillips Md 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.

Other Providers at the Same Location NPPES 8

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

TERRY D. KING, MD AMC

Pediatrics (Pediatric Cardiology)