B R Family Health Clinic, LLC

Primary specialty

Ph.D. Medical GeneticsTaxonomy code 170100000X

Legal business name

B R FAMILY HEALTH CLINIC, LLC

Practice address

2156 Wooddale Blvd
140
Baton Rouge, LA 70806-1403

Phone

(225) 928-5358

Fax

(225) 928-5363

NPI assigned

Dec 13, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Sharita Davis Acklin

Title

Owner

Phone

(225) 928-5358

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1700069747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2156 WOODDALE BLVD",
            "address_2": "140",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708061403",
            "telephone_number": "225-928-5358",
            "fax_number": "225-928-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2156 WOODDALE BLVD",
            "address_2": "140",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708061403",
            "telephone_number": "225-928-5358",
            "fax_number": "225-928-5363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B R FAMILY HEALTH CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "ACKLIN",
        "authorized_official_first_name": "SHARITA",
        "authorized_official_middle_name": "DAVIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-928-5358",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ph.D. Medical Genetics in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Ph.D. Medical Genetics in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.