Brian Broadwell in Shreveport - General Practice
Brian Broadwell - NPI 1689679383
Brian Broadwell is a General Practice in Shreveport, Louisiana. Brian Broadwell practices all healthcare services and medical treatments related to General Practice. The NPI Number for Brian Broadwell is 1689679383. The last update date is 2007-07-08.
Brian Broadwell's current location address is 8535 Fern Ave, Shreveport, Louisiana. You can contact this provider via phone number 3187983376 and fax number 3187983310. The mailing address for Brian Broadwell is 8535 Fern Ave, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian Broadwell |
|---|---|
| Address | 8535 Fern Ave, Shreveport, Louisiana |
| Phone Number | 3187983376 |
| Fax Number | 3187983310 |
| Sole Proprietor | X |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1689679383 |
|---|---|
| Provider Enumeration Date | 2005-06-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 8535 Fern Ave |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 7110556560 |
| Phone Number | 3187983376 |
| Fax Number | 3187983310 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 5313 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique identification code assigned to Brian Broadwell by the Centers for Medicare & Medicaid Services?
The Brian Broadwell has been issued the NPI (National Provider Identifier) 1689679383. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Brian Broadwell's facilities are situated?
The facilities of Brian Broadwell are physically located at the following address: 8535 Fern Ave, Shreveport, LA, 7110556560.
What is Brian Broadwell's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Brian Broadwell is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
When was the Brian Broadwell's 1689679383 issued?
The Brian Broadwell's 1689679383 was issued on 2005-06-17.
When was the information pertaining to Brian Broadwell most recently updated or revised?
The details related to Brian Broadwell, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.