MEDICARE: DR. EFFIE BRANTON M.D.

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	207P00000X	Emergency Medicine Physician	025311	LA
2	261QU0200X	Urgent Care Clinic/Center	025556	LA
3	207P00000X	Emergency Medicine Physician	30949	MS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356365217
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EFFIE BRANTON M.D.

Provider Business Mailing Address
First Line	:	3600 FLORIDA BLVD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70806-3842
Country	:	US
Telephone Number	:	225-387-7053
Fax Number	:

Provider Business Practice Location Address
First Line	:	3600 FLORIDA BLVD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70806-3842
Country	:	US
Telephone Number	:	225-387-7053
Fax Number	:

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

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	12/29/2025

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