MEDICARE: DR. BHARATSIMHA REDDY TOUTIREDDY MD

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	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician	14284554-1205	UT

General Provider Information

NPI Number	:	1275260341
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BHARATSIMHA REDDY TOUTIREDDY MD

Provider Business Mailing Address
First Line	:	PO BOX 30180
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84130-0180
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3401 NORTH BLVD, 130 SUITE
Second Line	:	BRG MID CITY MEDICINE CLINIC
City	:	BATON ROUGE
State	:	LA
Zip	:	70809
Country	:	US
Telephone Number	:	225-387-7900
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/08/2022
Last Update Date	:	05/28/2026

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