Healthcare Provider Details

I. General information

NPI: 1356365217
Provider Name (Legal Business Name): EFFIE BRANTON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 12/29/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 FLORIDA BLVD
BATON ROUGE LA
70806-3842
US

IV. Provider business mailing address

3600 FLORIDA BLVD
BATON ROUGE LA
70806-3842
US

V. Phone/Fax

Practice location:
  • Phone: 225-387-7053
  • Fax:
Mailing address:
  • Phone: 225-387-7053
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number025556
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number025311
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number30949
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: