Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gulf Coast Brain Sport & Spine LLC

Organization Physical Medicine & Rehabilitation Physician · NPI 1699055475

Gulf Coast Brain Sport & Spine LLC is a Physical Medicine & Rehabilitation Physician in Covington, Louisiana. Licensed in Louisiana. Registered with an NPI since 2011.

Licensed in
LA
In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1331 Ochsner Blvd Ste 100
Covington, LA 70433-8177
Phone: (985) 234-0490
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 14743R (LA)

Record details

NPI number1699055475
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Beau Bagley — Owner · (504) 237-1430
NPI enumeratedAugust 24, 2011
Last updated in NPPESMarch 30, 2013
Mailing addressPo Box 2013, Mandeville, LA 70470-2013

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