MRS. LINDSAY BOURG BRUNSON (NPI# 1528473212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528473212 |
| Entity Type | Individual |
| Full Name | MRS. LINDSAY BOURG BRUNSON |
| Other Name | MS. LINDSAY NICOLE BOURG |
| Credential | PA-C |
| Practice Address |
16777 Medical Center Dr Baton Rouge LA 70816-3254 |
| Mailing Address |
16777 Medical Center Drive Baton Rouge LA 70816 |
| Practice Telephone | 2257615191 |
| Practice Fax Number | 2257615450 |
| Mailing Telephone | 2257615200 |
| Enumeration Date | 2014-06-22 |
| Last Update Date | 2016-12-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA.200726 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2375270 | 05 | |
| MS | 02632247 | 05 |
| Street Address |
16777 MEDICAL CENTER DR |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70816-3254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639176985 | Stanocola Home Health | Home Health | 16777 Medical Center Dr, Baton Rouge, LA 70816-3254 | 2005-07-01 |
| 1992356398 | Terri Mcgee Frazier | Pharmacist | 16777 Medical Center Dr, Baton Rouge, LA 70816-3254 | 2019-09-26 |
| 1386113066 | Ryan Jack Paul Faulkner | Nurse Practitioner | 16777 Medical Center Dr, Baton Rouge, LA 70816-3254 | 2018-11-25 |
| 1871069377 | Matthew Ivanyisky | Physician Assistant | 16777 Medical Center Dr, Baton Rouge, LA 70816-3254 | 2018-10-23 |
| 1629596325 | Karee Balfantz | Dietitian, Registered | 16777 Medical Center Dr, Baton Rouge, LA 70816-3254 | 2017-09-01 |
| 1841713716 | Jennifer Hooper Laws | Nurse Practitioner | 16777 Medical Center Dr, Baton Rouge, LA 70816 | 2017-07-21 |
| 1801246186 | Carey Clifton | Podiatrist | 16777 Medical Center Dr, Baton Rouge, LA 70816 | 2016-06-16 |
| 1912368812 | Emily Johnston | Speech-Language Pathologist | 16777 Medical Center Dr, Baton Rouge, LA 70816-3254 | 2016-03-19 |
| 1972963700 | Mary-kate Boh Davis | Nurse Practitioner | 16777 Medical Center Dr, Baton Rouge, LA 70816-3254 | 2016-03-07 |
| 1801256144 | Jimi Michelle Aucoin | Advanced Practice Midwife | 16777 Medical Center Dr, Baton Rouge, LA 70816-3254 | 2016-02-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475128 | Exceptional Dental of Coursey, LLC | Dentist | 12045 Coursey Bvld., Baton Rouge, LA 70816 | 2020-10-26 |
| 1780294058 | Yolande Eileen Thomas | Case Manager/Care Coordinator | Array of Hope, 11940 Bricksome Ave, Baton Rouge, LA 70816 | 2020-08-03 |
| 1164052296 | Hoh Palliative Care, LLC | Family Medicine | 4212 American Way, Suite C, Baton Rouge, LA 70816 | 2020-01-16 |
| 1427698778 | Patricia Salton-hobson | Case Manager/Care Coordinator | 3888 S. Sherwood Forest Blvd Bldg II Ste F, Baton Rouge, LA 70816 | 2020-01-14 |
| 1467010447 | Niqueria Von'shea Mcswain | Licensed Practical Nurse | 2455 Weldwood Dr, Apt 6108, Baton Rouge, LA 70816 | 2019-06-04 |
| 1184184665 | Brent C Underwood | Chiropractor | 11851 Coursey Blvd., Baton Rouge, LA 70816 | 2019-03-21 |
| 1720544240 | Titus Randle II | Secured Medical Transport (VAN) | 1234 Pompey Dr, Baton Rouge, LA 70816 | 2019-02-20 |
| 1356820054 | Ashley Wheeler | Social Worker | 1761 Physicians Blvd., Baton Rouge, LA 70816 | 2018-08-13 |
| 1609355783 | Lynda W Thibodeaux | Counselor | 4021 W.e. Heck Court, Building B Suite 2, Baton Rouge, LA 70816 | 2018-08-09 |
| 1083193114 | Akamin Victor Nkengaka | Case Manager/Care Coordinator | Pelican Bayou Counseling Services, 3084 Westfolk Drive, Baton Rouge, LA 70816 | 2018-08-09 |
| Find all providers in zip 70816 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699382176 | Morgan Prejean | Physician Assistant | 11445 Coursey Blvd Ste L, Baton Rouge, LA 70816-0411 | 2020-09-28 |
| 1376078022 | Brian Ammon | Physician Assistant | 11831 Oakwilde Ave, Baton Rouge, LA 70810-3120 | 2017-05-01 |
| 1194148437 | Margot Lebourgeois | Physician Assistant | 7777 Hennessy Blvd Ste 700, Baton Rouge, LA 70808-4300 | 2014-01-22 |
| 1477995645 | Ashley Raburn | Physician Assistant | 7444 Picardy Ave Ste A, Baton Rouge, LA 70808-4331 | 2013-07-29 |
| 1609177161 | Kimberly Bergeron | Physician Assistant | 7301 Hennessey Blvd., Suite 200, Baton Rouge, LA 70808 | 2010-11-15 |
| 1487968327 | Ronald Ray Torres Jr. | Physician Assistant | 10059 N. Reiger Road, Baton Rouge, LA 70809 | 2010-08-03 |
| 1639294564 | Sarah Ponder | Physician Assistant | 7777 Hennessy Blvd Ste 5000, Baton Rouge, LA 70808-4368 | 2007-03-20 |
| 1033113980 | Vickie Sue Rice | Physician Assistant | 10101 Park Rowe Ave Ste 200, Baton Rouge, LA 70810-1685 | 2005-06-09 |
| 1124635164 | Marissa Tana Burnett | Physician Assistant | 8080 Bluebonnet Blvd Ste 1000, Baton Rouge, LA 70810-7827 | 2020-09-24 |
| 1053973750 | Laura Clesi Knight | Physician Assistant | 7777 Hennessy Blvd Ste 701, Baton Rouge, LA 70808-4370 | 2019-07-02 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70816 |
Please comment or provide details below to improve the information on MRS. LINDSAY BOURG BRUNSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.