Gardner, James Brewster

Gardner, James Brewster is an individual health care provider with primary practice located at 8200 Constantin Blvd Fl 4 , Baton Rouge LA 70809-3481. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Endocrinology. Allopathic & Osteopathic Physicians / Pediatric Endocrinology is his primary health care specialty. Gardner, James Brewster can be contacted via phone (225) 765-5500.

Contact Information

Primary practice address
8200 Constantin Blvd Fl 4 Baton Rouge LA 70809-3481
Phone: (225) 765-5500
Fax: (225) 765-1733
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD.026402 Louisiana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD.28842 Alabama
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X MD.026402 Louisiana

Profile Details

NPI number 1487824637
LBN Legal business name Gardner, James Brewster
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2008
Last updated Jan 5th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487824637 NPPES
Mississippi MEDICAID 07176038
Mississippi MEDICAID 1062634

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