Active NPI
Brian Michael Whitenack
- Military Health Care Provider
- Barksdale AFB, LA
National Provider Identifier
1336936574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military Health Care Provider
- Practice address
- 450 Curtiss Rd
Barksdale AFB, LA 71110-2420 - Phone
- (800) 275-8777
- NPI assigned
- Apr 22, 2025
- Last updated
- Apr 22, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Health Care Provider | 171000000X | FL | Primary |
Addresses
Primary practice location
450 Curtiss Rd
Barksdale AFB, LA 71110-2420
Mailing address
450 Curtiss Rd
Barksdale AFB, LA 71110-2420
Phone (800) 275-8777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745280000000",
"number": "1336936574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 CURTISS RD",
"city": "BARKSDALE AFB",
"state": "LA",
"postal_code": "711102420",
"telephone_number": "800-275-8777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 CURTISS RD",
"city": "BARKSDALE AFB",
"state": "LA",
"postal_code": "711102420",
"telephone_number": "800-275-8777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITENACK",
"first_name": "BRIAN",
"middle_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-04-22",
"last_updated": "2025-04-22",
"certification_date": "2025-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Barksdale AFB, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.