BRIAN W SIGNAL


Address: 243 Cutiss Rd, 2 Mdg, Barksdale Afb, LA 71110
Phone: 3184568576

BRIAN W SIGNAL (NPI# 1730313602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730313602
Entity Type Individual
Full Name BRIAN W SIGNAL
Practice Address 243 Cutiss Rd
2 Mdg
Barksdale Afb
LA 71110
Practice Telephone 3184568576
Mailing Telephone 3184568576
Enumeration Date 2009-05-07
Last Update Date 2012-08-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1003X Military Health Care Provider
Specialization: Independent Duty Medical Technicians
Other Service Providers

Office Location

Street Address 243 CUTISS RD
2 MDG
City BARKSDALE AFB
State LA
Zip Code 71110

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275029704 Melissa Nicole Ratliff Dentist 234 Curtiss Rd, Barksdale Afb, LA 71110 2018-07-09
1174010268 Jeffrey M Van Ness Student in an Organized Health Care Education/Training Program Air Force Base Dentist Clinic, Twining Drive, Barksdale Afb, LA 71110 2018-04-16
1538577028 Kevin Adams Dentist 234 Curtiss Road, Barksdale Afb, LA 71110 2014-07-28
1881908960 Maria T Kalmantis Pediatrics University Hospital Heraklion, Heraklion, CRETE 71110 2010-08-02
1992931539 Jonathan Schulze Dentist 40 Barksdale Blvd, Barksdale Afb, Apo, AA 71110 2009-06-10
1649405846 Sylvia Jean Wimberly Social Worker 243 Curtis Road, Bldg. 4546, Suite 100, Barksdale Afb, LA 71110 2009-05-18
1720298425 Hap House Day Training, Developmentally Disabled Services 244 Turner Ave., Barksdaleafb, LA 71110 2007-05-23
1326197435 Gigi Briones Russel Frost Dental Hygienist 1067 Twining Dr., Barksdale Afb, LA 71110 2007-01-09
1619034824 Lakesha Wilson Dental Hygienist 1067 Twinning Dr., Bossier, LA 71110 2007-01-03
1467551093 2 Nd Medical Group Sgsl Military/U.S. Coast Guard Pharmacy Bldg 4709, Barksdale Afb, LA 71110 2006-09-21
Find all providers in zip 71110

Taxonomy Information

Taxonomy Code 1710I1003X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Medical Technicians

Taxonomy Definition

An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.
Notes: Source: Air Force Surgeon General Office [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902318314 Alexander Arrieta Military Health Care Provider 1917 Liberty Ave S, Barksdale Afb, LA 71110-2162 2017-10-26
1790014660 Athena Lee Castilleja Ezernack Military Health Care Provider 407 Barksdale Blvd E, Barksdale Afb, LA 71110-2125 2009-12-23
1891179578 Heather C Acres Military Health Care Provider 243 Curtiss Rd, Barksdale Afb, LA 71110-2425 2015-07-13
1598909970 Jody Lee Ohmer Military Health Care Provider 243 Curtiss Rd, Barksdale Afb, LA 71110-2425 2009-04-28
1194969550 Charles Wayne Sheffield Military Health Care Provider 243 Curtiss Rd, Barksdale Afb, LA 71110-2425 2009-04-28
1346484805 Rachonn Shalette Williamson Military Health Care Provider 243 Curtiss Rd, St 100 (2amds/sgpf), Barksdale Afb, LA 71110-2425 2009-04-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1568803450 Jenna Elizabeth Davila Military Health Care Provider 293 Avondale Ln, Bossier City, LA 71112-4266 2013-07-09
1043566698 Mikka Slater Military Health Care Provider 1503 University Ave, Monroe, LA 71203-3550 2012-08-01
1033477757 Shandy Gore Military Health Care Provider 5610 Buncombe Rd Apt 907, Shreveport, LA 71129-3617 2012-05-01
1710243126 Mark Butanis Military Health Care Provider 3913 N I 10 Service Rd W Apt 239, Metairie, LA 70002-6828 2012-04-10
1053684985 Rashad C. Holley Military Health Care Provider 1225 Villaggio Blvd, Bossier City, LA 71111-7438 2012-02-23

Competitor

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City BARKSDALE AFB
Zip Code 71110

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Dataset Information

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.

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