Provider Demographics
NPI:1760418578
Name:WOOL, BRANDON M (MD)
Entity Type:Individual
Prefix:
First Name:BRANDON
Middle Name:M
Last Name:WOOL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:315 METAIRIE ROAD
Mailing Address - Street 2:SUITE 302
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70005-4337
Mailing Address - Country:US
Mailing Address - Phone:504-835-2197
Mailing Address - Fax:504-835-2631
Practice Address - Street 1:315 METAIRIE ROAD
Practice Address - Street 2:SUITE 302
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70005-4337
Practice Address - Country:US
Practice Address - Phone:504-835-2197
Practice Address - Fax:504-835-2631
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-23
Last Update Date:2008-07-28
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Provider Licenses
StateLicense IDTaxonomies
LA015341207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1337803Medicaid
LA1337803Medicaid
LA5J591Medicare PIN