Brougham, Jared

Brougham, Jared is an individual health care provider with primary practice located at 1501 Kings Hwy , Shreveport LA 71103-4228. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Neurological Surgery. Allopathic & Osteopathic Physicians / Neurological Surgery is his primary health care specialty. Brougham, Jared can be contacted via phone (318) 813-2482.

Contact Information

Primary practice address
1501 Kings Hwy Shreveport LA 71103-4228
Phone: (318) 813-2482
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X DR.0071013 Colorado

Profile Details

NPI number 1124482815
LBN Legal business name Brougham, Jared
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2016
Last updated May 16th, 2023 - about 2 years 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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