Individual provider Active NPI

Brandon Watkins

  • Emergency Medicine Physician
  • Shreveport, LA
National Provider Identifier
1881382026
Registry record updated Feb 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
344633 Issued in LA
Practice address
1501 Kings Hwy
Shreveport, LA 71103-4228
Phone
(318) 626-1036
NPI assigned
Apr 26, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X 344633 LA Primary

Addresses

Primary practice location

1501 Kings Hwy
Shreveport, LA 71103-4228

Mailing address

1501 Kings Hwy
Shreveport, LA 71103-4228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250116002455 LA Practitioner - Emergency Medicine 5294263331 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concord Medical Group PLLCGroup PAC ID 0446296818, 189 clinicians
Oakdale Ess LLCGroup PAC ID 7517289713, 26 clinicians
Hodges Emergency Group LLCGroup PAC ID 2567703978, 19 clinicians
Hospital Service District No. 1 of Caldwell ParishGroup PAC ID 4587552450, 37 clinicians

Practice addresses (Care Compare)

2001 Doctors Dr
Springhill, LA 71075-4526
Phone (318) 539-1000

207 Jefferson St
Mansfield, LA 71052-2603
Phone (318) 872-0821

240 Highland Dr
Many, LA 71449-3718
Phone (318) 256-5691

7939 Hwy 165
Columbia, LA 71418-3327
Phone (318) 649-6106

PO Box
Suite 1079
Columbia, LA 71418-1079

PO Box
Suite 1079
Columbia, LA 71418-3327

Hospital & facility affiliations

  • Springhill Medical Center Hospital, Springhill, LA, CCN 190088
  • Citizens Medical Center Hospital, Columbia, LA, CCN 190184
  • Sabine Medical Center Hospital, Many, LA, CCN 190218
  • Desoto Regional Health System Hospital, Mansfield, LA, CCN 190118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
344633LAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Correct Care, Inc. Single Specialty CurrentSince Dec 31, 2024 Accepting new patients
Hodges Emergency Group, LLC Single Specialty CurrentSince Aug 1, 2025 Accepting new patients
Concord Medical Group PLLC Single Specialty CurrentSince Feb 25, 2025 Accepting new patients
Concord Medical Group of Texas PLLC Single Specialty CurrentSince Feb 25, 2025 Accepting new patients
Hospital Service District No. 1 of Caldwell Parish Single Specialty CurrentSince Feb 11, 2026 Accepting new patients
Oakdale Ess LLC Single Specialty CurrentSince Jan 15, 2025 Accepting new patients
Hospital Service District No. 1 Caldwell Parish CurrentSince Feb 11, 2026 Accepting new patients

Locations

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100

301 Memorial Dr
Donaldsonvlle, LA 70346
Phone (225) 473-7931

207 Jefferson St
Mansfield, LA 71052
Phone (318) 871-3109

240 Highland Dr
Many, LA 71449
Phone (318) 256-5691

2001 Doctors Dr
Springhill, LA 71075
Phone (318) 539-1000

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738368000000",
    "number": "1881382026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 KINGS HWY",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 KINGS HWY",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034228",
            "telephone_number": "318-626-1036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "BRANDON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-26",
        "last_updated": "2025-02-01",
        "certification_date": "2025-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "344633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.