Brewer, Randall P.

Brewer, Randall P. is an individual health care provider with primary practice located at 8731 Park Plaza Dr , Shreveport LA 71105. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Brewer, Randall P. can be contacted via phone (318) 797-5848.

Contact Information

Primary practice address
8731 Park Plaza Dr Shreveport LA 71105
Phone: (318) 797-5848
Fax: (318) 797-5844
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD.021953 Louisiana
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X MD.021953 Louisiana
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X MD.021953 Louisiana
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X MD.021953 Louisiana

Profile Details

NPI number 1538130018
LBN Legal business name Brewer, Randall P.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated Apr 8th, 2024 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538130018 NPPES
Louisiana MEDICAID 1177458
Louisiana Other 10915651

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