MEDICARE: RALPH SAGREAR,MD & BAPTISTE W. BRUNNER, MD, APMC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208800000X	Urology Physician	0040046	LA

General Provider Information

NPI Number	:	1942205927
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RALPH SAGREAR,MD & BAPTISTE W. BRUNNER, MD, APMC

Provider Business Mailing Address
First Line	:	PO BOX 8815
Second Line	:
City	:	METAIRIE
State	:	LA
Zip	:	70011-8815
Country	:	US
Telephone Number	:	504-277-8265
Fax Number	:	504-277-0020

Provider Business Practice Location Address
First Line	:	800 W VIRTUE ST
Second Line	:	STE 204
City	:	CHALMETTE
State	:	LA
Zip	:	70043-1292
Country	:	US
Telephone Number	:	504-277-8265
Fax Number	:	504-277-0020

Authorized Official
Title or Position	:	SECRETARY/TREASURER
Name	:	DR. BAPTISTE W. BRUNNER
Credential	:	M.D.
Telephone Number	:	504-277-8265

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	08/22/2020

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