DR. BENJAMIN BANG V NGUYEN (NPI# 1114975554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114975554 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN BANG V NGUYEN |
| Credential | M.D. |
| Practice Address |
7929 Youree Dr Shreveport LA 71105-5538 |
| Practice Telephone | 3184243268 |
| Practice Fax Number | 3184243280 |
| Mailing Telephone | 3184243268 |
| Mailing Fax Number | 3184243280 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | 0966R | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1981087 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790966539 | Benjamin Bill Nguyen | Chiropractor | 8515 Edna Ave #280, Las Vegas, NV 89117-4442 | 2007-11-20 |
| 1710974951 | Benjamin Nguyen | Family Medicine | 649 E 12 Mile Rd, Madison Heights, MI 48071-2568 | 2005-10-03 |
| 1508466921 | Benjamin Pham Minh Nguyen | Pharmacist | 115 W Fm 544, Murphy, TX 75094-4580 | 2020-10-26 |
| 1619507928 | Benjamin Vu Nguyen | Pharmacist | 855 El Camino Real, Palo Alto, CA 94301-2305 | 2020-01-26 |
| 1427611714 | Benjamin Pham Nguyen | Student in an Organized Health Care Education/Training Program | 400 W Mineral King Ave, Visalia, CA 93291-6237 | 2019-04-22 |
| 1457703704 | Benjamin B. Nguyen | Dentist | 4300 Meadows Ln, Ste. 1350, Las Vegas, NV 89107-3004 | 2016-07-11 |
| 1013394824 | Benjamin Nguyen | Emergency Medicine | 5246 Brittany Dr, Baton Rouge, LA 70808 | 2015-04-30 |
| 1679845002 | Benjamin Nguyen | Counselor | 111 N County Farm Rd, Wheaton, IL 60187-3977 | 2012-02-01 |
| 1558699827 | Benjamin Nguyen | Anesthesiology | 9961 Sierra Ave, 3rd Floor Anesthesia Administration, Fontana, CA 92335-6720 | 2009-11-25 |
| 1609945690 | Benjamin Nguyen | Physical Medicine & Rehabilitation | 375 Municipal Dr, Suite 144, Richardson, TX 75080-3559 | 2006-11-06 |
| Street Address |
7929 YOUREE DR |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71105-5538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417098385 | Louisiana Neurologic Specialties Inc | Neuromusculoskeletal Medicine, Sports Medicine | 7929 Youree Dr, Shreveport, LA 71105-5538 | 2007-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699245928 | Misty Johnetta Ross | Counselor | 2942 Knight St., Bldg. 4 Suite 426, Shreveport, LA 71105 | 2018-11-29 |
| 1205301868 | Tatjhana Maury | Case Manager/Care Coordinator | 3325 Youree Drive, Shreveport, LA 71105 | 2018-10-10 |
| 1245710920 | Jefferey Douglas Adair Md | Non-Pharmacy Dispensing Site | 8860 Fern Ave., Suite 120, Shreveport, LA 71105 | 2018-08-21 |
| 1679059539 | Michael E Woolbert Dds LLC | Dentist | 7600 Fern Avenue, Building 1100, Shreveport, LA 71105 | 2018-07-13 |
| 1881195675 | Adiba Bibi | Pharmacist | 3555 Greenwood Road, Walgreens, Shreveport, LA 71105 | 2018-02-27 |
| 1740796655 | Allison Borel | Counselor | 2020 E 70th St Ste 201, Shreveport, LA 71105 | 2017-12-15 |
| 1073028148 | Valerie Wooten Barcelona | Physical Therapist | 130 Kayla Street, Shreveport, LA 71105 | 2017-12-11 |
| 1710497615 | Jimmy Carroll | Counselor | 2960 Knight St, Suite 110, Shreveport, LA 71105 | 2017-10-05 |
| 1932618444 | David Louis Bennett | Counselor | 3007 Knight St., Suite 200, Shreveport, LA 71105 | 2017-09-27 |
| 1619496452 | Shaqwana Hodge | Counselor | 2920 Knight St. Suite 110, Shreveport, LA 71105 | 2017-09-13 |
| Find all providers in zip 71105 | ||||
| Taxonomy Code | 204C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine, Sports Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821080383 | Lewis C Jones | Neuromusculoskeletal Medicine, Sports Medicine | 6121 Fern Ave Unit 128, Shreveport, LA 71105-4166 | 2005-08-19 |
| 1417098385 | Louisiana Neurologic Specialties Inc | Neuromusculoskeletal Medicine, Sports Medicine | 7929 Youree Dr, Shreveport, LA 71105-5538 | 2007-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942366729 | R. Mollie A. John | Neuromusculoskeletal Medicine, Sports Medicine | 2701 Brierfield Dr, Monroe, LA 71201-3048 | 2006-12-28 |
| 1427026996 | Thomas Patrick Cockerham | Neuromusculoskeletal Medicine, Sports Medicine | 5211 Essen Lane, Suite 9, Baton Rouge, LA 70809 | 2006-03-10 |
| 1427036656 | William W Alden | Neuromusculoskeletal Medicine, Sports Medicine | 4140 Westbank Expy, Marrero, LA 70072-3245 | 2006-01-06 |
| 1396743506 | Thad Stephens Broussard | Neuromusculoskeletal Medicine, Sports Medicine | 8037 Picardy Ave, Baton Rouge, LA 70809-3538 | 2005-07-12 |
| 1750447215 | R. Mollie A. John, M.d., Apmc | Neuromusculoskeletal Medicine, Sports Medicine | 2701 Brierfield Dr, Monroe, LA 71201-3048 | 2006-12-29 |
| 1174688857 | Walter Wright Ellis | Neuromusculoskeletal Medicine, Sports Medicine | 3749 N Causeway Blvd, Metairie, LA 70002-2046 | 2006-12-24 |
| 1457309098 | Lucius Craig IIi | Neuromusculoskeletal Medicine, Sports Medicine | 2600 Belle Chasse Hwy, Suite I, Terrytown, LA 70056-7156 | 2006-05-05 |
| City | SHREVEPORT |
| Zip Code | 71105 |
Please comment or provide details below to improve the information on DR. BENJAMIN BANG V NGUYEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.