Brian L Dockendorf in Shreveport - Surgery
Brian L Dockendorf - NPI 1598769432
Brian L Dockendorf is a Surgery in Shreveport, Louisiana. Brian L Dockendorf practices all healthcare services and medical treatments related to Surgery. The NPI Number for Brian L Dockendorf is 1598769432. The last update date is 2020-12-11.
Brian L Dockendorf's current location address is 1455 E Bert Kouns Loop, Shreveport, Louisiana. You can contact this provider via phone number 3187984600 and fax number 3187984412. The mailing address for Brian L Dockendorf is 1455 E Bert Kouns Loop, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian L Dockendorf |
|---|---|
| Address | 1455 E Bert Kouns Loop, Shreveport, Louisiana |
| Phone Number | 3187984600 |
| Fax Number | 3187984412 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1598769432 |
|---|---|
| Provider Enumeration Date | 2005-06-09 |
| Last Updated Date | 2020-12-11 |
Provider Mailing Address Detail
| Address | 1455 E Bert Kouns Loop |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 7110556340 |
| Phone Number | 3187984600 |
| Fax Number | 3187984412 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 09794R |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1053315846 | LA | GROUP MEDICARE NUMBER | |
| 20025718 | LA | RAILROAD MEDICARE NUMBER | |
| 135485409 | TX | TEXAS MEDICAID NUMBER | |
| 1966053 | LA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Brian L Dockendorf?
The Brian L Dockendorf has been issued the NPI (National Provider Identifier) 1598769432 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Brian L Dockendorf?
The Brian L Dockendorf is situated at 1455 E Bert Kouns Loop, in the city of Shreveport, state of LA, with the zip code 7110556340.
What is Brian L Dockendorf's specialized field of practice, and what is the corresponding taxonomy classification code?
The Brian L Dockendorf's area of specialization is Surgery, and the corresponding taxonomy code that categorizes this field of practice is 208600000X.
On what date was the 1598769432 assigned to Brian L Dockendorf?
The Brian L Dockendorf was issued its 1598769432 on 2005-06-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Brian L Dockendorf most recently updated or revised?
The information pertaining to Brian L Dockendorf, including its address, specialty, and other relevant details, was last updated or revised on 2020-12-11.