Brfhh Shreveport LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

BRFHH SHREVEPORT LLC

Doing business as

University Health Shreveport

Practice address

1541 Kings Highway
Shreveport, LA 71103-4228

Phone

(318) 675-7636

Fax

(318) 675-7531

NPI assigned

Jun 18, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Vernon Moore

Title

Cfo

Phone

(318) 675-4864

Specialties & licenses 2

Addresses

Other names 1

• UNIVERSITY HEALTH SHREVEPORT Doing business as

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503532800000",
    "number": "1457733198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 KINGS HIGHWAY",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034228",
            "telephone_number": "318-675-7636",
            "fax_number": "318-675-7531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 KINGS HIGHWAY",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034228",
            "telephone_number": "318-675-7636",
            "fax_number": "318-675-7531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRFHH SHREVEPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-18",
        "last_updated": "2017-08-24",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "VERNON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "318-675-4864",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNIVERSITY HEALTH SHREVEPORT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Trekell Brewer, P.T.
• Angela Brewer
• Randall P. Brewer, MD
• Catherine P Brewton
• Kristen Jones Brezina, PA
• Brfhh Shreveport LLC (University Health Shreveport)
• Brfhh Shreveport LLC
• Brfhh Shreveport LLC (University Health Shreveport)
• Brfhh Shreveport LLC (University Health Shreveport)
• Brfhh Shreveport, LLC

• Nurse Practitioner in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2017; 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.