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NPI Code Detail

MEDICARE: BRIAN ERNEST KOZAR MD

MEDICARE: BRIAN ERNEST KOZAR 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
1207X00000XOrthopaedic Surgery Physician15399RLA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659379386
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN ERNEST KOZAR MD
Provider Business Mailing Address
First Line : 1514 JEFFERSON HWY
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70121-2429
Country : US
Telephone Number : 504-842-4000
Fax Number :
Provider Business Practice Location Address
First Line : 16777 MEDICAL CENTER DR
Second Line :
City : BATON ROUGE
State : LA
Zip : 70816-3254
Country : US
Telephone Number : 225-761-5200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 10/02/2015

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Directions to “ BRIAN ERNEST KOZAR MD” Practice Location

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