Healthcare Provider Details

I. General information

NPI: 1720669070
Provider Name (Legal Business Name): BRIGGS MICHAEL WELCH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2021
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 BELLE CHASSE HWY STE 204
TERRYTOWN LA
70056-7156
US

IV. Provider business mailing address

2600 BELLE CHASSE HWY STE 204
TERRYTOWN LA
70056-7156
US

V. Phone/Fax

Practice location:
  • Phone: 504-722-9086
  • Fax:
Mailing address:
  • Phone: 504-722-9086
  • Fax: 504-277-0445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number354482
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: