Healthcare Provider Details
I. General information
NPI: 1285562926
Provider Name (Legal Business Name): MATTHEW BRANDON WINFIELD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
15799 PAUL VEGA MD DR.
HAMMOND LA
70403-1434
US
IV. Provider business mailing address
22 PARK ISLAND DR
NEW ORLEANS LA
70122-1229
US
V. Phone/Fax
- Phone: 985-345-2700
- Fax:
- Phone: 504-940-4183
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: