Provider Demographics
NPI:1063944494
Name:CULOTTA, BROOKS JARED (MD)
Entity type:Individual
Prefix:
First Name:BROOKS
Middle Name:JARED
Last Name:CULOTTA
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:1100 POYDRAS ST., 2500 ENERGY CENTRE
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70163-2500
Mailing Address - Country:US
Mailing Address - Phone:504-527-9953
Mailing Address - Fax:504-527-9950
Practice Address - Street 1:4224 HOUMA BLVD STE 140
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-2934
Practice Address - Country:US
Practice Address - Phone:504-503-6565
Practice Address - Fax:504-456-8053
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-03
Last Update Date:2024-05-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LA322287207RP1001X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine