Breatheamerica Shreveport Inc

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

009735 Issued in LA

Legal business name

BREATHEAMERICA SHREVEPORT INC

Practice address

463 Ashley Ridge Blvd
Suite 100
Shreveport, LA 71106-7231

Phone

(318) 221-3585

Fax

(318) 227-9094

NPI assigned

Oct 15, 2012

Last updated

Aug 23, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

BREATHEAMERICA INCAs reported in NPPES

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

Authorized official

Name

Mr. Timothy James Miller

Title

VP Managed Care

Phone

(615) 665-7122

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Mollie Berg, PA-C

  • Physician Assistant
  • Shreveport, LA
  • NPI 1558666073
  NPD (past)

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

{
    "created_epoch": "1350259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377216000000",
    "number": "1700138781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "463 ASHLEY RIDGE BLVD",
            "address_2": "SUITE 100",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711067231",
            "telephone_number": "318-221-3585",
            "fax_number": "318-227-9094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 ASHLEY RIDGE BLVD",
            "address_2": "SUITE 100",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711067231",
            "telephone_number": "318-221-3585",
            "fax_number": "318-227-9094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREATHEAMERICA SHREVEPORT INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BREATHEAMERICA INC",
        "enumeration_date": "2012-10-15",
        "last_updated": "2013-08-23",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "VP MANAGED CARE",
        "authorized_official_telephone_number": "615-665-7122",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "LA",
            "license": "009735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John A Braud, MD
• Kimberly Braud
• Kristy L. Braud, MD
• Meoshia Brazzle
• Breast Care Specialists AMC
• Andree Celeste Breaux, P.A.
• Audrey J Breaux, PHARMD
• Briankeith Breaux
• Monica Breaux, RN, CDCES
• Stefanie Breaux, MOT, OTR

• Allergy & Immunology Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Allergy & Immunology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2013; 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.