Provider Demographics
NPI:1992729560
Name:BATON ROUGE GENERAL PHYSICIANS, INC.
Entity type:Organization
Organization Name:BATON ROUGE GENERAL PHYSICIANS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.F.O.
Authorized Official - Prefix:
Authorized Official - First Name:KENDALL
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:225-237-1645
Mailing Address - Street 1:PO BOX 4869
Mailing Address - Street 2:DEPT: 235
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77210-4869
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8585 PICARDY AVENUE
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809
Practice Address - Country:US
Practice Address - Phone:225-763-4254
Practice Address - Fax:225-763-4253
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2019-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1443883Medicaid
LA1442771Medicaid
LACD3714OtherRAILROAD MEDICARE
LA1792390Medicaid
LA1443328Medicaid
LA1443981Medicaid
LACD3409OtherRAILROAD MEDICARE
LA1666807Medicaid
LA1544507Medicaid
LACG1792OtherRAILROAD MEDICARE
LA5CK29Medicare PIN
LA1443328Medicaid
LA5C369Medicare PIN
LACD3714OtherRAILROAD MEDICARE
LA5CG07Medicare PIN
LA5C362Medicare PIN
LACD3409OtherRAILROAD MEDICARE
LA1443883Medicaid
LA1442771Medicaid
LA5CD43Medicare PIN