Healthcare Provider Details
I. General information
NPI: 1497723530
Provider Name (Legal Business Name): BRIAN ANTHONY SAUNDERS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 03/14/2006
Last Update Date: 06/27/2022
Certification Date: 06/27/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6400 PERKINS RD
BATON ROUGE LA
70808-4124
US
IV. Provider business mailing address
5959 S SHERWOOD FOREST BLVD
BATON ROUGE LA
70816-6038
US
V. Phone/Fax
- Phone: 225-330-0497
- Fax: 225-330-0498
- Phone: 225-330-0497
- Fax: 225-765-9196
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207P00000X |
| Taxonomy | Emergency Medicine Physician |
| License Number | 026020 |
| License Number State | LA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: