ROBERT DAVID BRUMLEY (NPI# 1700302726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700302726 |
Entity Type | Individual |
Full Name | ROBERT DAVID BRUMLEY |
Credential | LAC #5016 |
Practice Address |
3341 Youree Dr Shreveport LA 71105-2149 |
Practice Telephone | 3182194167 |
Mailing Telephone | 3182194167 |
Enumeration Date | 2017-08-22 |
Last Update Date | 2019-10-23 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
5016 | LA | Behavioral Health & Social Service Providers |
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
1515 Doctors Dr, Bossier City, LA 711113321 | 3185847311 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346242997 | Robert Hugh Brumley | Optometrist | 18345 Sw Alexander St, Suite A, Aloha, OR 97006-3960 | 2005-08-12 |
Street Address |
3341 YOUREE DR |
City | SHREVEPORT |
State | LA |
Zip Code | 71105-2149 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811947153 | Gregory Scott Seal | Specialist | 3341 Youree Dr, Shreveport, LA 71105-2149 | 2006-05-10 |
1043871759 | Tanisha Bullard | Counselor | 3341 Youree Dr, Shreveport, LA 71105-2149 | 2019-06-24 |
1649831355 | Madysen Paige Roberts | Counselor | 3341 Youree Dr, Shreveport, LA 71105-2149 | 2019-06-24 |
1124584024 | Khairah Ali-allen | Counselor | 3341 Youree Dr, Shreveport, LA 71105-2149 | 2019-02-15 |
1275005050 | Juliana Valerie Burnell | Registered Nurse | 3341 Youree Dr, Shreveport, LA 71105-2149 | 2018-12-18 |
1548739592 | Kalah Harris | Licensed Practical Nurse | 3341 Youree Dr, Shreveport, LA 71105-2149 | 2018-11-20 |
1427527928 | Jade Stogsdill | Case Manager/Care Coordinator | 3341 Youree Dr, Shreveport, LA 71105-2149 | 2018-11-14 |
1871077388 | Christopher Seth Basinger | Licensed Practical Nurse | 3341 Youree Dr, Shreveport, LA 71105-2149 | 2018-09-20 |
1902303407 | Janice Alicia Miller | Counselor | 3341 Youree Dr, Shreveport, LA 71105-2149 | 2018-04-11 |
1710486469 | Janique Alyisha Rogers | Counselor | 3341 Youree Dr, Shreveport, LA 71105-2149 | 2018-02-08 |
Find all providers in the same location |
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 | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942814389 | Courtney Rayburn | Counselor | 9413 Prestonwood Dr, Shreveport, LA 71115-3733 | 2020-09-02 |
1669007951 | Tamara 'tammy' Larck | Counselor | 1525 Fullilove Drive, Shreveport, LA 71111 | 2020-03-06 |
1518505601 | Samantha Klingenberg | Counselor | 910 Pierremont Rd Ste 300, Shreveport, LA 71106-2056 | 2019-12-19 |
1740796655 | Allison Borel | Counselor | 2020 E 70th St Ste 201, Shreveport, LA 71105 | 2017-12-15 |
1396255980 | Christa Walker-williams | Counselor | 525 Crockett St, Shreveport, LA 71101-3601 | 2017-10-09 |
1174047856 | Gregory H Gentry | Counselor | 363 Sandefur Dr, Shreveport, LA 71105-3245 | 2017-08-03 |
1538615067 | Jesse Fallis | Counselor | New Day Recovery/ Shreveport, 6240 Greenwood Rd, Shreveport, LA 71119 | 2016-08-25 |
1760762470 | Jacqueline A. Danzell, Lcsw, LLC | Counselor | 910 Pierremont Rd Ste 410, Shreveport, LA 71106-2056 | 2011-08-25 |
1811291099 | Barbara Marie Allen | Counselor | 5100 Pine Hill Rd, Shreveport, LA 71107-2604 | 2011-01-03 |
1063609782 | Ross Githens | Counselor | 520 Olive St, Shreveport, LA 71104-2312 | 2007-09-26 |
Find all providers in SHREVEPORT |
City | SHREVEPORT |
Zip Code | 71105 |
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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.