NPIMap

Organization Active NPI

Minden Physician Practices LLC

  • Multi-Specialty Clinic/Center
  • Minden, LA
National Provider Identifier
1497986764
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
MINDEN PHYSICIAN PRACTICES LLC
Practice address
1 Medical Plaza PL
Minden, LA 71055-3330
Phone
(318) 377-2321
NPI assigned
Aug 4, 2009
Last updated
Mar 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Authorized official

Name
Shannon Dawn Brown
Title
Director
Phone
(318) 382-7296

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary
Family Medicine Physician 207Q00000X

Addresses

Primary practice location

1 Medical Plaza PL
Minden, LA 71055-3330

Mailing address

346 Homer Rd
Minden, LA 71055-2834
Phone (318) 226-8202

Other practice location 1

170 Healthcare Plaza Dr.
Haughton, LA 71037
Phone (318) 382-7299

Other practice location 2

102 S Monroe St Ste B
Minden, LA 71055-3357
Phone (318) 382-7290

Other practice location 3

113 E Church Street
Ste 1
Springhill, LA 71075
Phone (318) 377-8855

Other practice location 4

101 Murrell St Ste 1
Minden, LA 71055-3462
Phone (318) 377-5000

Other practice location 5

216 W Union St Ste A
Minden, LA 71055-3208
Phone (318) 299-6334

Other practice location 6

812 Broadway St
Minden, LA 71055-3309
Phone (318) 377-4534

Other identifiers 1

IdentifierTypeStateIssuer
2158180MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090930000103 LA Part B Supplier - Clinic/Group Practice 4789720004 Receives reassigned benefits from 91 practitioners
9 other NPIs on this enrollment
Practice locations: Minden, LA; Ringgold, LA; Haughton, LA

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

4770 Brandon Blvd
Bossier City, LA 71111

102 S Monroe St
#B
Minden, LA 71055
Phone (318) 382-7290

216 W Union St
Minden, LA 71055
Phone (318) 299-6334

Practitioners & affiliated clinicians

Practitioners 96

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.

View all 96

NPI Registry JSON

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

{
    "created_epoch": "1249344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678924800000",
    "number": "1497986764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 HOMER RD",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710552834",
            "telephone_number": "318-226-8202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PLAZA PL",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710553330",
            "telephone_number": "318-377-2321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "170 Healthcare Plaza Dr.",
            "address_purpose": "LOCATION",
            "city": "Haughton",
            "state": "LA",
            "postal_code": "71037",
            "country_code": "US",
            "telephone_number": "318-382-7299",
            "fax_number": "318-706-0023",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "102 S Monroe St Ste B",
            "address_purpose": "LOCATION",
            "city": "Minden",
            "state": "LA",
            "postal_code": "710553357",
            "country_code": "US",
            "telephone_number": "318-382-7290",
            "fax_number": "318-382-7292",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "113 E Church Street",
            "address_2": "Ste 1",
            "address_purpose": "LOCATION",
            "city": "Springhill",
            "state": "LA",
            "postal_code": "71075",
            "country_code": "US",
            "telephone_number": "318-377-8855",
            "fax_number": "318-377-8837",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Murrell St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Minden",
            "state": "LA",
            "postal_code": "710553462",
            "country_code": "US",
            "telephone_number": "318-377-5000",
            "fax_number": "318-377-5111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "216 W Union St Ste A",
            "address_purpose": "LOCATION",
            "city": "Minden",
            "state": "LA",
            "postal_code": "710553208",
            "country_code": "US",
            "telephone_number": "318-299-6334",
            "fax_number": "318-299-6332",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "812 Broadway St",
            "address_purpose": "LOCATION",
            "city": "Minden",
            "state": "LA",
            "postal_code": "710553309",
            "country_code": "US",
            "telephone_number": "318-377-4534",
            "fax_number": "318-377-4535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MINDEN PHYSICIAN PRACTICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-04",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "318-382-7296"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2158180",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minden, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.