Brentwood Acquisition-Shreveport Inc

A Medicare group practice based in Shreveport, LA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 1951379312), with 38 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1951379312The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Hospital, Part B Supplier - Clinic/Group Practice
Enrolled in
LA
Enrollments
2
Group size
13 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 2 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20040923000015 LA Part B Supplier - Clinic/Group Practice 1164725701
O20080227000200 LA Part A Provider - Hospital 1417979204

NPIs in this group 2

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 38

Clinicians who reassign their Medicare benefits to this group (37) or whom Care Compare lists as members (13).

Sources for this page