Provider Demographics
NPI:1093828113
Name:CASCIO, BRETT MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:BRETT
Middle Name:MICHAEL
Last Name:CASCIO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4150 NELSON ROAD
Mailing Address - Street 2:BLDG D, SUITE 1
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70605
Mailing Address - Country:US
Mailing Address - Phone:337-508-1000
Mailing Address - Fax:337-335-0701
Practice Address - Street 1:4150 NELSON ROAD
Practice Address - Street 2:BLDG. D., SUITE 1
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70605
Practice Address - Country:US
Practice Address - Phone:337-508-1000
Practice Address - Fax:337-335-0701
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA201480207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1015610Medicaid
LAI70286Medicare UPIN
LA1015610Medicaid
LA4K646F669Medicare PIN
LA4K646F668Medicare PIN