BRENT O CAMPANELLA, MD
NPI 1104095959
Clinic/Center in Baton Rouge, LA

NPI Status: Active since February 26, 2008

Contact Information

5131 ESSEN LN
BATON ROUGE, LA
ZIP 70809
Phone: (225) 769-0043
Fax: (225) 769-0133

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  • Organization
  • Clinic/Center

About BRENT O CAMPANELLA, MD

This page provides the complete NPI Profile along with additional information for Brent O Campanella, Md, a provider established in Baton Rouge, Louisiana operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1104095959 assigned on February 2008. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Dr. Brent O Campanella M.d. (Doctor)

NPI
1104095959
Provider Name
BRENT O CAMPANELLA, MD
Entity Type
Organization
Location Address
5131 ESSEN LN BATON ROUGE, LA 70809
Location Phone
(225) 769-0043
Location Fax
(225) 769-0133
Mailing Address
5131 ESSEN LN BATON ROUGE, LA 70809
Mailing Phone
(225) 769-0043
Mailing Fax
(225) 769-0133
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-26-2008
Last Update Date
02-26-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. BRENT O CAMPANELLA M.D.

Authorized Official Title
DOCTOR
Authorized Official Phone
(225) 769-0043

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
5K369MEDICARE PIN (08)LA 
E17516MEDICARE UPIN (02)LA 
1393053MEDICAID (05)LA 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1104095959
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21040910910
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 0 + 9 + 1 + 0 + 9 + 1 + 0 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1104095959 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003847369DR. BRENT OLIVER CAMPANELLA M.D.
Individual
Family Medicine5131 ESSEN LN
BATON ROUGE, LA 70809
(225) 769-0043

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104095959, enumerated in the NPI registry as an "organization" on February 26, 2008

The provider is located at 5131 Essen Ln Baton Rouge, La 70809 and the phone number is (225) 769-0043

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on February 26, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.