Larry K Broadwell, MD | |
820 Jordan St, Suite 201, Shreveport, LA 71101-4518 | |
(318) 221-0399 | |
(318) 221-1940 |
Full Name | Larry K Broadwell |
---|---|
Gender | Male |
Speciality | Rheumatology |
Experience | 48 Years |
Location | 820 Jordan St, Shreveport, Louisiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326194036 | NPI | - | NPPES |
1303429 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RR0500X | Internal Medicine - Rheumatology | 013598 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Willis Knighton Medical Center, Inc | Shreveport, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Larry K. Broadwell, M.d., A Medical Corporation | 7113984402 | 9 |
Entity Name | Larry K. Broadwell, M.d., A Medical Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689766271 PECOS PAC ID: 7113984402 Enrollment ID: O20041218000025 |
Mailing Address | Practice Location Address |
---|---|
Larry K Broadwell, MD 820 Jordan St, Suite 201, Shreveport, LA 71101-4518 Ph: (318) 221-0399 | Larry K Broadwell, MD 820 Jordan St, Suite 201, Shreveport, LA 71101-4518 Ph: (318) 221-0399 |
Mansi Shah, D.O. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 1455 E Bert Koun Loop, #210, Shreveport, LA 71105 Phone: 318-798-4515 Fax: 318-798-4530 | |
Pratik Agrawal, Rheumatology Medicare: Medicare Enrolled Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 | |
Dr. Bader Alotaibi, M.D. Rheumatology Medicare: Medicare Enrolled Practice Location: 2727 Hearne Ave Ste 301, Shreveport, LA 71103 Phone: 318-631-6400 | |
Paul A Rushing, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 1455 E Bert Kouns Loop, Shreveport, LA 71105 Phone: 318-798-4488 Fax: 318-798-4420 | |
Sanjay Jain, Rheumatology Medicare: Medicare Enrolled Practice Location: 510 E Stoner Ave, Primary Care (110), Shreveport, LA 71101 Phone: 318-221-8411 | |
Steven R Bailey, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 | |
Venkateswara K Rao, M.D., Rheumatology Medicare: Medicare Enrolled Practice Location: 1501 Kings Hwy, Department Of Medicine, Shreveport, LA 71103 Phone: 318-675-5000 |