Individual
DR. BRIAN CHRIS GREMILLION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8119 PICARDY AVE, BATON ROUGE, LA 70809-3515
(225) 214-3638
(225) 214-3639
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 765-5727
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
019054
LA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
019054
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010057326
RAILROAD MEDICARE
LA
05
—
1366218
—
LA
Enumeration date
08/10/2005
Last updated
01/25/2021
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