Individual
GARY BRANDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9422 SCOTLAND AVE, BATON ROUGE, LA 70807-3951
(225) 774-1822
(225) 774-1836
Mailing address
9422 SCOTLAND AVE, BATON ROUGE, LA 70807-3951
(225) 774-1822
(225) 774-1836
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
017647
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1359670
—
LA
01
—
4331551460
BLUE CROSS
LA
01
—
930114663
RRM
LA
Enumeration date
07/29/2005
Last updated
10/13/2009
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