Organization
GULF COAST BRAIN SPORT & SPINE LLC
Active
Organization
GULF COAST BRAIN SPORT & SPINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEAU J BAGLEY MD (OWNER)
(504) 237-1430
Entity
Organization
Contact information
Practice address
1331 OCHSNER BLVD, SUITE 100, COVINGTON, LA 70433-8177
(985) 234-0490
Mailing address
PO BOX 2013, MANDEVILLE, LA 70470-2013
(504) 237-1430
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
14743R
LA
Other
Enumeration date
08/24/2011
Last updated
03/30/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up