Organization
BATON ROUGE GENERAL PHYSICIANS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENDALL JOHNSON (C.F.O.)
(225) 237-1645
Entity
Organization
Contact information
Practice address
8585 PICARDY AVENUE, BATON ROUGE, LA 70809
(225) 763-4254
(225) 763-4253
Mailing address
PO BOX 4869, DEPT: 235, HOUSTON, TX 77210-4869
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1442771
—
LA
05
—
1443328
—
LA
05
—
1443883
—
LA
05
—
1443981
—
LA
05
—
1544507
—
LA
05
—
1666807
—
LA
05
—
1792390
—
LA
01
—
CD3409
RAILROAD MEDICARE
LA
01
—
CD3714
RAILROAD MEDICARE
LA
01
—
CG1792
RAILROAD MEDICARE
LA
Enumeration date
07/27/2006
Last updated
10/24/2019
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