# BATON ROUGE GENERAL PHYSICIANS MEDICAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bella Family Medical
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174808174
- **Authorized official:** KENDALL JOHNSON (CFO)
- **Authorized official phone:** (225) 237-1645

## Contact information

- **Practice address:** 10127 FLORIDA BLVD, BATON ROUGE, LA 70815-1765
- **Practice address phone:** (225) 272-0106
- **Mailing address:** 8490 PICARDY AVE, BLDG 200, BATON ROUGE, LA 70809-3731
- **Mailing address phone:** (225) 237-1754
- **Mailing address fax:** (225) 237-1722

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/21/2011
- **Last updated:** 08/01/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1378861 | — | LA |