Brian Gamborg
Brian Gamborg is a Family Practice in Lake Charles, Louisiana. Qualified in 1984, 42 years ago. Practices with Calcasieu Cameron Hospital Medicine Group LLC, a 66-clinician group and accepts Medicare assignment. Licensed in Louisiana.
- Years since qualifying
- 42
- Licensed in
- LA
- In the registry since
- 2006
Practice location Address checks out
1525 Oak Park BlvdLake Charles, LA 70601-8849
Phone: (337) 494-6767
Fax: (337) 494-6750
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 023359 (LA) |
|---|
Record details
| NPI number | 1295795755 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 27, 2006 |
| Last updated in NPPES | April 29, 2022 |
| Certification date | April 29, 2022 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 1984 (42 years in practice) |
| Group practice | Calcasieu Cameron Hospital Medicine Group Llc — 66 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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Dr. Jason T. Fong, MBBS
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