Brandon R Brousse, MD
Internal Medicine, Gastroenterology in Covington, LA. Individual provider (NPI-1).
NPI number1508229618
StatusActive
Last updated in NPPESAug 2, 2022
Details
- NPI
- 1508229618
- Entity type
- Individual (NPI-1)
- Name
- Brandon R Brousse
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 5, 2016
- Certification date
- Aug 2, 2022
- Last updated
- Aug 2, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0100X | Internal Medicine, Gastroenterology | 330447 | LA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
131 Cherokee Rose Ln Ste BCovington, LA 70433-7244
Phone 985-871-1721 · Fax 985-871-4049
Mailing address
131 Cherokee Rose Ln Ste BCovington, LA 70433-7244
Phone 985-871-1721 · Fax 985-871-4049
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