BPH Enterprises, LLC
Organization Active NPI Family Medicine Physician · Brusly, LA
NPI 1043316631 · NPPES record last updated Jul 16, 2007
Key facts
- NPI
- 1043316631
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 024237 (LA)
- Legal business name
- BPH ENTERPRISES, LLC
- Practice address
- 402 N Vaughan St
Brusly, LA 70719-2225 - Phone
- (225) 749-2645
- Fax
- (225) 749-8216
- NPI assigned
- Sep 15, 2006
- Organization subpart
- No
Authorized official
- Name
- Brian P Higgins, M.D.
- Title
- President
- Phone
- (225) 749-2645
Practitioners 1
-
Brian P Higgins, M.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 024237 | LA | Yes |
Addresses
Primary practice location
402 N Vaughan St
Brusly, LA 70719-2225
Mailing address
402 N Vaughan St
Brusly, LA 70719-2225
Phone (225) 749-2645
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1446777 | Medicaid | LA |
Other names
- WESTSIDE FAMILY MEDICINE
Other providers in Brusly, LA
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- Andrew B Bernales
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- Brightside Day Habilitation, Inc
- Brightside Day Habilitation, Inc
- Normanique Latrice Butler
- Melody Bynum
All providers in Brusly, LA · Family Medicine Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.