Gulf Coast Brain Sport & Spine LLC
NPI 1699055475ActiveOrganization· Physical Medicine & Rehabilitation· Covington, LA
Physical Medicine & Rehabilitation in Covington, Louisiana, registered in NPPES in August 2011. The authorized official on file is Beau J. Bagley, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1699055475 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 24, 2011 |
| Last updated in NPPES | Mar 30, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Medicine & Rehabilitation Primary | 208100000X | 14743R | LA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (LA) |
|---|
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