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

Connie Marie Brunson, PA

Individual provider Medical Physician Assistant · NPI 1841381647

Connie Marie Brunson, PA is a Physician Assistant in Baton Rouge, Louisiana. Qualified in 2006, 20 years ago. Practices with Our Lady of the Lake Physician Group LLC, a 635-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Louisiana.

Years since qualifying
20
Licensed in
LA
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

7777 Hennessy Blvd Ste 501B
Baton Rouge, LA 70808-4300
Phone: (225) 765-3456
Fax: (225) 765-1899
Show map & directions

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

Additional practice locations (1)

  • 8200 Constantin Blvd Fl 3, Baton Rouge, LA 70809-3481 — (225) 765-5500

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA.200104.RX (LA)

Record details

NPI number1841381647
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 27, 2006
Last updated in NPPESJanuary 26, 2021
Certification dateJanuary 26, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Our Lady Of The Lake Physician Group Llc — 635 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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