Brian Williams

Individual provider Active NPI Case Manager/Care Coordinator · Bossier City, LA

NPI 1912425356 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1912425356
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
3018 Old Minden Rd Ste 1117
Bossier City, LA 71112-2497
Phone
(318) 746-1935
NPI assigned
Sep 6, 2017
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

3018 Old Minden Rd Ste 1117
Bossier City, LA 71112-2497

Mailing address

3018 Old Minden Rd Ste 1117
Bossier City, LA 71112-2497
Phone (318) 746-1935

Other providers in Bossier City, LA

All providers in Bossier City, LA · Case Manager/Care Coordinator in Louisiana

Sources for this page

Verify at the official NPI Registry.