Roy F Brabham Jr., M.D.
Plastic Surgery in Baton Rouge, LA. Individual provider (NPI-1).
NPI number1316283286
StatusActive
Last updated in NPPESJan 29, 2018
Details
- NPI
- 1316283286
- Entity type
- Individual (NPI-1)
- Name
- Roy F Brabham Jr.
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 21, 2012
- Last updated
- Jan 29, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - GENERAL SURGERY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208200000X | Plastic Surgery | MD.013301 | LA | Yes |
| 174400000X | Specialist | MD.013301 | LA | |
| 2083P0011X | Preventive Medicine, Undersea and Hyperbaric Medicine | MD.013301 | LA |
Practice location
3600 Florida BlvdBaton Rouge, LA 70806-3842
Phone 225-281-2669 · Fax 985-892-7070
Mailing address
Po Box 1089Hammond, LA 70404-1089
Phone 985-892-7070 · Fax 985-892-7017
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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