DR. BRANDON KEITH HIDER M.D. NPI 1629286075

NPI Information

  • NPI: 1629286075
  • Provider Name: DR. BRANDON KEITH HIDER, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 12895 HIGHWAY 90
    SUITE H
    LULING, LA
    ZIP 70070
  • Phone: (985) 331-9400

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NPI Details

DR. Brandon Keith Hider, M.D. is a family medicine in Luling, LA with 21 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Brandon Keith Hider, M.D. NPI is 1629286075. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduation Year:2005

The provider's business location address is:

12895 HIGHWAY 90
SUITE H
LULING, LA
ZIP 70070-249
Phone: (985) 331-9400
Fax: (985) 331-9401

The NPI 1629286075 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/18/2007 and was last updated on 6/11/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicinePGY.2-LSUNOLOUISIANANo
2207Q00000XFamily MedicineMD.204623LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
105652823MEDICAIDMISSISSIPPI
24N9127061MEDICARE PINLOUISIANA
31505978MEDICAIDLOUISIANA
44N912MEDICARE PINLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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