Jordan Austin Brice (NPI# 1164834206, PAC ID# 2264758358) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1164834206 |
| PAC ID by PECOS | 2264758358 |
| Professional Enrollment ID | I20180517002741 |
| Full Name | Jordan Austin Brice |
| Organization Legal Name | PIERREMONT ANESTHESIA CONSULTANTS |
| Address |
8001 Youree Dr Shreveport LA 71115-2302 |
| Phone Number | 3187971743 |
| Gender | M |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT |
| Graduation Year | 2014 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 0547200057 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190111 | WILLIS KNIGHTON MEDICAL CENTER |
| 190098 | UNIVERSITY HEALTH SHREVEPORT |
| Address | Phone | Organization |
|---|---|---|
| 1541 Kings Hwy, Shreveport, LA 71103-4228 | 3186755000 | LSU HEALTH SCIENCES CENTER-SHREVEPORT FACULTY GROUP PRACTICE |
| 1606 Kings Hwy, Shreveport, LA 71103-4128 | 3186756402 | LSU HEALTH SCIENCES CENTER-SHREVEPORT FACULTY GROUP PRACTICE |
| 8001 Youree Dr, Shreveport, LA 71115-2302 | 3187971743 | PIERREMONT ANESTHESIA CONSULTANTS |
| Organization Legal Name | PIERREMONT ANESTHESIA CONSULTANTS |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maxwell A Taylor | Anesthesiology | Pierremont Anesthesia Consultants | 8001 Youree Dr, Shreveport, LA 71115-2302 |
| Christopher J Miciotto | Anesthesiology | Pierremont Anesthesia Consultants | 8001 Youree Dr, Shreveport, LA 71115-2302 |
| Scott B Reed | Anesthesiology | Pierremont Anesthesia Consultants | 8001 Youree Dr, Shreveport, LA 71115-2302 |
| Colleen C. Fuller | Anesthesiology | Pierremont Anesthesia Consultants | 8001 Youree Dr, Shreveport, LA 71115-2302 |
| Street Address |
8001 YOUREE DR |
| City | SHREVEPORT |
| State | LA |
| Zip | 71115-2302 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Hernandez | Internal Medicine | Wk Moller Cassiere Clinic | 8001 Youree Dr, Suite 400, Shreveport, LA 71115-2340 |
| Antonio R Pizarro | Obstetrics/gynecology | 8001 Youree Dr, Suite 370, Shreveport, LA 71115-2339 | |
| Holly Johnson | Nurse Practitioner | Wk Pierremont Ob-gyn Specialists | 8001 Youree Dr, Suite 600, Shreveport, LA 71115-2345 |
| Jorge Martinez-leyva | Emergency Medicine | 8001 Youree Dr, Suite 850, Shreveport, LA 71115-2327 | |
| Sarah A Lafield | Physician Assistant | Dr. Wen Liu Inc. | 8001 Youree Dr, Suite 880, Shreveport, LA 71115-2331 |
| Jason S Mook | Emergency Medicine | Cross Lake Emergency Group, LLC | 8001 Youree Dr, Shreveport, LA 71115-2302 |
| Hector Brunet Rodriguez | Infectious Disease | Wk Shreveport Infectious Disease | 8001 Youree Dr, Suite 750, Shreveport, LA 71115-2346 |
| Darrell Sandifer | Obstetrics/gynecology | Wk Pierremont Ob-gyn Specialists | 8001 Youree Dr, Suite 600, Shreveport, LA 71115-2345 |
| Guillermo O Padilla-pineda | Infectious Disease | Wk Shreveport Infectious Disease | 8001 Youree Dr, Suite 750, Shreveport, LA 71115-2346 |
| Leocardy Pierre | Internal Medicine | Wk Pierremont Hospitalists | 8001 Youree Dr, Suite 4007, Shreveport, LA 71115-2302 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carmell Lenert-williams | Emergency Medicine | Cross Lake Emergency Group, LLC | 8001 Youree Dr, Shreveport, LA 71115-2302 |
| John Netterville | Emergency Medicine | Cross Lake Emergency Group, LLC | 8001 Youree Dr, Shreveport, LA 71115-2302 |
| Ganesh S Dhoble | Internal Medicine | Wk Pierremont Hospitalists | 8001 Youree Dr, Suite 4007, Shreveport, LA 71115-2302 |
| Eustace Edwards | Emergency Medicine | Cross Lake Emergency Group, LLC | 8001 Youree Dr, Shreveport, LA 71115-2302 |
| Wen Liu | Internal Medicine | Wk Pierremont Hospitalists | 8001 Youree Dr, Suite 4007, Shreveport, LA 71115-2302 |
| Kamlesh Jani | Internal Medicine | Wk Pierremont Hospitalists | 8001 Youree Dr, Suite 4007, Shreveport, LA 71115-2302 |
| Michael J Lewis | Certified Registered Nurse Anesthetist (crna) | Willis Knighton Medical Center Inc Crna Group | 8001 Youree Dr, Shreveport, LA 71115-2302 |
| Jennifer Thomas Prime | Internal Medicine | Wk Pierremont Hospitalists | 8001 Youree Dr, Suite 4007, Shreveport, LA 71115-2302 |
| Diane Elizabeth Jamison-blair | Internal Medicine | Wk Pierremont Hospitalists | 8001 Youree Dr, Suite 4007, Shreveport, LA 71115-2302 |
| Glenn R. Figueroa | Internal Medicine | Wk Pierremont Hospitalists | 8001 Youree Dr, Suite 4007, Shreveport, LA 71115-2302 |
| Find all physicians in zip 71115 | |||
| City | SHREVEPORT |
| Zip Code | 71115 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | SHREVEPORT + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Jordan Austin Brice.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.