Provider Demographics
NPI:1366440877
Name:BALL, BRIAN CURTIS (MD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:CURTIS
Last Name:BALL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1978 NORTH HWY 190 STE B
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433
Mailing Address - Country:US
Mailing Address - Phone:985-373-6827
Mailing Address - Fax:985-900-2178
Practice Address - Street 1:1978 NORTH HWY 190 STE B
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433
Practice Address - Country:US
Practice Address - Phone:985-373-6827
Practice Address - Fax:985-900-2178
Is Sole Proprietor?:No
Enumeration Date:2005-07-08
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD017634207LP2900X
LA017634207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1366587Medicaid
LA1366587Medicaid
B64301Medicare UPIN