NPIMap

Organization Active NPI

Brigham and Brigham Sleep Care

  • General Practice Dentistry
  • Bossier City, LA
National Provider Identifier
1043869050
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BRIGHAM AND BRIGHAM SLEEP CARE
Practice address
2281 Benton Rd
Bossier City, LA 71111-3403
Phone
(318) 742-9852
Fax
(318) 742-2288
NPI assigned
Sep 11, 2019
Organization subpart
Yes
Parent organization
BRIGHAM AND BRIGHAM A PROFESSIONAL DENTAL CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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

Authorized official

Name
Jenifer S Blythe
Title
Office Manager
Phone
(318) 742-9852

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 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

  • Brigham and Brigham Sleep Care Doing business as

National Provider Directory

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

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568160000000",
    "number": "1043869050",
    "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",
            "fax_number": "318-742-2288"
        },
        {
            "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",
            "fax_number": "318-742-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHAM AND BRIGHAM SLEEP CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRIGHAM AND BRIGHAM A PROFESSIONAL DENTAL CORP",
        "enumeration_date": "2019-09-11",
        "last_updated": "2019-09-11",
        "status": "A",
        "authorized_official_last_name": "BLYTHE",
        "authorized_official_first_name": "JENIFER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "318-742-9852"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brigham and Brigham Sleep Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 11, 2019; 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.