NPIMap

Organization Active NPI

Brigham and Brigham Professional

  • Dentist
  • Bossier City, LA
National Provider Identifier
1023246121
Registry record updated Jun 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4469 Issued in LA
Legal business name
BRIGHAM AND BRIGHAM PROFESSIONAL
Practice address
2281 Benton Rd
Bossier City, LA 71111-3403
Phone
(318) 742-9852
NPI assigned
Jun 26, 2009
Last updated
Jun 26, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Charles P Brigham, D.D.SNPI 1609854496
Title
Owner
Phone
(318) 742-9852

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4469 LA Primary

Addresses

Primary practice location

2281 Benton Rd
Bossier City, LA 71111-3403

Mailing address

2281 Benton Rd
Bossier City, LA 71111-3403
Phone (318) 742-9852

Other names 1

  • bossier family dental center Other name

National Provider Directory

National Provider Directory
Tax ID family
Brigham and Brigham Professional2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2281 Benton Rd
Bossier City, LA 71111
Phone (318) 742-9852

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245974400000",
    "number": "1023246121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2281 BENTON RD",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711113403",
            "telephone_number": "318-742-9852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2281 BENTON RD",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711113403",
            "telephone_number": "318-742-9852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHAM AND BRIGHAM PROFESSIONAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-26",
        "last_updated": "2009-06-26",
        "status": "A",
        "authorized_official_last_name": "BRIGHAM",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-742-9852",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "4469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "bossier family dental center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bossier City, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.