Smith, Brandon P

Smith, Brandon P is an individual health care provider with primary practice located at 2400 Hospital Dr Department Of Emergency Medicine, Bossier City LA 71111-2385. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Smith, Brandon P can be contacted via phone (318) 212-7500.

Contact Information

Primary practice address
2400 Hospital Dr Department Of Emergency Medicine Bossier City LA 71111-2385
Fax: (318) 212-7505
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD.202243 Louisiana

Profile Details

NPI number 1164633004
LBN Legal business name Smith, Brandon P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2007
Last updated Apr 25th, 2012 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1164633004 NPPES
Louisiana MEDICAID 07805

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