BRIAN PATRICK MARTIN (NPI# 1821295411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821295411 |
| Entity Type | Individual |
| Full Name | BRIAN PATRICK MARTIN |
| Credential | MD |
| Practice Address |
1501 Kings Highway Shreveport LA 71130-3932 |
| Mailing Address |
1501 Kings Hwy Shreveport LA 71103-4228 |
| Practice Telephone | 3186757205 |
| Practice Fax Number | 3186756878 |
| Mailing Telephone | 3186757205 |
| Mailing Fax Number | 3186756878 |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2009-11-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | MD.201506 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1071145 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003106188 | Brian K Martin | Specialist/Technologist, Other | 958 Ashland Blvd, Channelview, TX 77530-2608 | 2011-04-11 |
| 1144542457 | Brian T. Martin | Physician Assistant | 340 4th Ave Ste 7a, Chula Vista, CA 91910-3813 | 2010-02-28 |
| 1205949963 | Brian Patrick Martin | Chiropractor | 605 Se 164th Ave Ste 101, Vancouver, WA 98684-9297 | 2006-08-16 |
| 1639182843 | Brian Christopher Martin | Physician Assistant | 1505 Soquel Drive, Suite 12, Santa Cruz, CA 95065-1716 | 2006-08-15 |
| 1619996618 | Brian Paul Martin | Pharmacist | Central Pharmacy, 1505 26th Avenue East, Bradenton, FL 34208 | 2006-07-19 |
| 1942249420 | Brian Andrew Martin | Physician Assistant | 2150 Noll Dr Ste 100, Lancaster, PA 17603-7605 | 2006-06-06 |
| 1083699086 | Brian Calvin Martin | Dentist | 622 Eagle Rock Ave, Suite 105, West Orange, NJ 07052-2994 | 2005-12-13 |
| 1043835556 | Brian Martin | Behavior Technician | 275 W Natick Rd Ste 400, Warwick, RI 02886-1161 | 2020-06-10 |
| 1477172773 | Brian N. Martin | Hearing Instrument Specialist | 2703 W Cuthbert Ave, Midland, TX 79701-3819 | 2020-04-16 |
| 1477015766 | Brian Michael Martin | Massage Therapist | 7049 Taylorsville Rd Ste A, Huber Heights, OH 45424-3190 | 2019-04-04 |
| Street Address |
1501 KINGS HIGHWAY |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71130-3932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790720738 | Louisina State University Health Sciences Center | Neurological Surgery | 1501 Kings Highway, Lsuhsc-s, Shreveport, LA 71103-4228 | 2006-06-16 |
| 1609496439 | Nicolas Abraham Zaunbrecher | Student in an Organized Health Care Education/Training Program | 1501 Kings Highway, Internal Medicine, Shreveport, LA 71130-3932 | 2020-04-22 |
| 1619597432 | Ghanshyam R. Mudigonda | Student in an Organized Health Care Education/Training Program | 1501 Kings Highway, Internal Medicine, Shreveport, LA 71130-3932 | 2020-04-22 |
| 1528688348 | Audrey Netzel | Student in an Organized Health Care Education/Training Program | 1501 Kings Highway, Internal Medicine, Shreveport, LA 71130-3932 | 2020-04-22 |
| 1629698444 | Ammad Khan | Student in an Organized Health Care Education/Training Program | 1501 Kings Highway, Internal Medicine, Shreveport, LA 71130-3932 | 2020-04-22 |
| 1265052088 | James Mccarty | Student in an Organized Health Care Education/Training Program | 1501 Kings Highway, Internal Medicine, Shreveport, LA 71130-3932 | 2020-04-22 |
| 1831719848 | Patrick Connor | Student in an Organized Health Care Education/Training Program | 1501 Kings Highway, Internal Medicine, Shreveport, LA 71130-3932 | 2020-04-20 |
| 1023638020 | Izrail Abdurakhmanov | Student in an Organized Health Care Education/Training Program | 1501 Kings Highway, Psychiatry, Shreveport, LA 71130-3932 | 2020-04-20 |
| 1952921959 | Tanner Hegefeld | Student in an Organized Health Care Education/Training Program | 1501 Kings Highway, Psychiatry, Shreveport, LA 71130-3932 | 2020-04-20 |
| 1881214815 | Justin Harrell | Student in an Organized Health Care Education/Training Program | 1501 Kings Highway, Internal Medicine, Shreveport, LA 71130-3932 | 2020-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003444316 | Aya Mouhaffel | Student in an Organized Health Care Education/Training Program | 1501 King Hwy, Anesethesiology, Shreveport, LA 71130 | 2020-03-31 |
| 1689144461 | John W Ratliff | Student in an Organized Health Care Education/Training Program | Ochsner, 1501, Shreveport, LA 71130 | 2018-12-05 |
| 1790284016 | Alex Michael Fuselier | Student in an Organized Health Care Education/Training Program | Urology, 1501 Kings Highway, Shreveport, LA 71130 | 2018-02-02 |
| 1265096390 | Thomas G. Block IIi | Student in an Organized Health Care Education/Training Program | Internal Medicine, 1501 Kings Highway, Shreveport, LA 71130 | 2019-04-24 |
| 1669036794 | Udhayvir Singh Grewal | Student in an Organized Health Care Education/Training Program | Internal Medicine, 1501 Kings Highway, Shreveport, LA 71130 | 2019-04-24 |
| 1285190843 | Adekola Adedeji | Student in an Organized Health Care Education/Training Program | Ochsner Health System, 1501 Kings Highway, Shreveport, LA 71130 | 2019-02-19 |
| 1386100949 | Samantha N. Hirt | Student in an Organized Health Care Education/Training Program | Ochsner Health System, 1501 Kings Highway, Shreveport, LA 71130 | 2019-02-19 |
| 1053893487 | Brittney Gillyard | Nurse Practitioner | 1541 Kings Hwy, Shreveport, LA 71130 | 2018-09-01 |
| 1275890436 | Mark Douglas Porta Jr. | Internal Medicine | 1501 Kings Hwy, Lsuhsc Dept. of Gastroenterology, Shreveport, LA 71130 | 2012-04-12 |
| 1700072618 | Kashif Jameel Khan | Internal Medicine | 1501 Kings Hwy, Lsuhsc Dept. of Gastroenterology, Shreveport, LA 71130 | 2007-09-25 |
| Find all providers in zip 71130 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982871182 | Edward Locascio | Emergency Medicine | 1512 W Kirby Place, Department of Emergency Medicine, Shreveport, LA 71103-3822 | 2008-05-15 |
| 1780722686 | Joseph Salvador Bianca | Emergency Medicine | 715 Chinquapin Dr, Shreveport, LA 71106-7200 | 2007-02-02 |
| 1902950363 | Richard A Aycock II | Emergency Medicine | 2510 Bert Kouns Indistrial Loop, Shreveport, LA 71118 | 2007-01-23 |
| 1962555342 | Charles Leonard Black | Emergency Medicine | 7600 General Motors Blvd, Medical Department, Shreveport, LA 71129-9426 | 2007-01-19 |
| 1801820121 | Mary Ann Edens | Emergency Medicine | 1501 King's Highway, Shreveport, LA 71103 | 2006-07-10 |
| 1992738629 | Paul Bracey | Emergency Medicine | 6841 Fern Avenue, Suite 100, Shreveport, LA 71105 | 2006-07-08 |
| 1306875570 | Edward Ronald Samper | Emergency Medicine | 1666 E Bert Kouns Industrial Loop, Suite 105, Shreveport, LA 71105-5714 | 2006-07-01 |
| 1366482309 | Kenneth David Miller | Emergency Medicine | 11165 Heritage Oaks, Shreveport, LA 71106-8383 | 2006-06-07 |
| 1225084536 | John Kevin Netterville | Emergency Medicine | One St Mary Place, Shreveport, LA 71101 | 2006-05-26 |
| 1245206077 | Jerel L Raney | Emergency Medicine | 7045 Youree Dr, Shreveport, LA 71105-5108 | 2006-02-23 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71130 |
Please comment or provide details below to improve the information on BRIAN PATRICK MARTIN.
| 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.