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

Dr. Charles Ray Halliburton Jr., MD

Individual provider Internal Medicine Physician · NPI 1083614721

Dr. Charles Ray Halliburton Jr., MD is an Internal Medicine in Baton Rouge, Louisiana. Graduated from University of Mississippi School of Medicine in 1988, 38 years ago. Practices with Our Lady of the Lake Physician Group LLC, a 635-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Louisiana.

Years since qualifying
38
Trained at
University of Mississippi School of Medicine
Licensed in
LA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

5228 Dijon Dr
Baton Rouge, LA 70808-4311
Phone: (225) 765-8829
Fax: (225) 765-8283
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 10938R (LA)

Record details

NPI number1083614721
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 22, 2005
Last updated in NPPESDecember 15, 2025
Certification dateDecember 15, 2025

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated 1988 (38 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

Other providers in Baton Rouge