Provider Demographics
NPI:1902560394
Name:BRETT C BUDDEN MD LLC
Entity Type:Organization
Organization Name:BRETT C BUDDEN MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRETT
Authorized Official - Middle Name:C
Authorized Official - Last Name:BUDDEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:337-257-5864
Mailing Address - Street 1:5839 ARGONNE BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70124-3731
Mailing Address - Country:US
Mailing Address - Phone:337-257-5864
Mailing Address - Fax:
Practice Address - Street 1:4740 S I 10 SERVICE RD W STE 130
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001-1214
Practice Address - Country:US
Practice Address - Phone:337-257-5864
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-22
Last Update Date:2021-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina SpecialistGroup - Single Specialty