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:
Health care specialties
| Specialty | Code | License # | 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 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538130018 | NPPES |
| Louisiana | MEDICAID | 1177458 | |
| Louisiana | Other | 10915651 |
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