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

Benjamin Dominic Breazile, MD

Individual provider Internal Medicine Physician · NPI 1407389034

Benjamin Dominic Breazile, MD is a Hospitalist in Baton Rouge, Louisiana. Graduated from University of Missouri, Columbia School of Medicine in 2017, 9 years ago. Practices with Our Lady of the Lake Physician Group LLC, a 635-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alabama and Louisiana.

Years since qualifying
9
Trained at
University of Missouri, Columbia School of Medicine
Licensed in
AL, LA
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5000 Hennessy Blvd
Baton Rouge, LA 70808-4375
Phone: (225) 765-4050
Fax: (225) 765-4046
Show map & directions

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

Additional practice locations (1)

  • 832 Princeton Ave Sw, Birmingham, AL 35211-1320 — (205) 780-7053

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 338121 (LA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 41085 (AL)

Record details

NPI number1407389034
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 10, 2017
Last updated in NPPESJuly 27, 2023
Certification dateJuly 27, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHOSPITALIST
Medical schoolUNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Our Lady Of The Lake Physician Group Llc — 635 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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