Brantley, John Bretton
Brantley, John Bretton is an individual health care provider with primary practice located at 5220 Flanders Drive , Baton Rouge LA 70808. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Brantley, John Bretton can be contacted via phone (225) 766-5151.Contact Information
Primary practice address
5220 Flanders Drive
Baton Rouge LA 70808
Phone: (225) 766-5151
Fax: (225) 766-8216
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 013362 | Louisiana |
| Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | 013362 | Louisiana |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 013362 | Louisiana |
Profile Details
| NPI number | 1629006630 |
|---|---|
| LBN Legal business name | Brantley, John Bretton |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2006 |
| Last updated | Feb 9th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629006630 | NPPES |
| Louisiana | MEDICAID | 1168122 |
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