Brent Boudreaux MD

  • NPI 1467423913
According to our database, the NPI number for Brent Boudreaux MD is 1467423913 and activated since 18 years ago. Brent Boudreaux MD is an individual provider who specializes in Diagnostic Radiology, and the primary practice location is 2600 Greenwood Rd, Shreveport, LA 71103. You can also contact Brent Boudreaux MD via telephone number is (318) 212-4550. Provider NPI information was last updated on 02/03/2014.

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Overview of Brent Boudreaux MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 01/31/2006
  • Last updated: 02/03/2014

Primary Scrop of Practice

  • Taxonomy Code: 2085R0202X
  • Specialty: Diagnostic Radiology
  • License Number: 017805
  • License State: LA

Provider Mailing Address

  • Address: Po Box 9600
    Dept 09-033
    Texarkana, TX 75505
  • Phone: 877-243-8416
  • Fax:

Provider Practice Location

  • Address: 2600 Greenwood Rd
    Shreveport, LA 71103
  • Phone: 318-212-4550
  • Fax:

Scope of Practice

  • Taxonomy Code: 2085R0202X
  • Specialty: Diagnostic Radiology
  • License Number: 017805
  • License State: LA
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 1347264
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: LA
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Brent Boudreaux MD?
  • A: The npi number for Brent Boudreaux MD is 1467423913.
  • Q: What are Brent Boudreaux MD's specialties?
  • A: Brent Boudreaux MD's specialties are Diagnostic Radiology and different specialities.
  • Q: What is the medical license for Brent Boudreaux MD?
  • A: The medical license number for Brent Boudreaux MD is 017805 and issued in LA in USA.
  • Q: Where is Brent Boudreaux MD practice location?
  • A: Brent Boudreaux MD is practicing at 2600 Greenwood Rd, Shreveport, LA 71103.
  • Q: How to contact Brent Boudreaux MD?
  • A: You can contact Brent Boudreaux MD via 318-212-4550.