person
Gary Brandt, MD
General Practice Physician in Baton Rouge, Louisiana
NPI 1255331450

Gary Brandt is a General Practice Physician based in Baton Rouge, LA. Gary Brandt practices in Baton Rouge, LA and has the professional credentials of MD. The NPI Number for Gary Brandt is 1255331450 and holds a License No. 017647 (Louisiana).

The current practice location address for Gary Brandt is 9422 Scotland Ave, Baton Rouge, LA and can be reached out via phone at 225-774-1822 and via fax at 225-774-1836.

Location: 9422 Scotland Ave, Baton Rouge, LA, 70807-3951
person
Provider Profile Details
NPI Number
1255331450
Provider Name
Gary Brandt
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
9422 Scotland Ave, Baton Rouge, LA, 70807-3951
Phone Number
225-774-1822
Fax Number
225-774-1836
Provider Enumeration Date
07/29/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4331551460 01 LA BLUE CROSS
930114663 01 LA RRM
1359670 05 LA
institution
Provider Business Practice Location Address Details
Address
9422 Scotland Ave
City
State
Zip
70807-3951
Phone Number
225-774-1822
Fax Number
225-774-1836
person
Provider Business Mailing Address Details
Address
9422 Scotland Ave
City
State
Zip
70807-3951
Phone Number
225-774-1822
Fax Number
225-774-1836
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
017647 (Louisiana)
Definition
Definition to come...
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