Healthcare Provider Details

I. General information

NPI: 1609785013
Provider Name (Legal Business Name): DR. BARRY KEVIN BRAND V
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 MASONIC DR
ALEXANDRIA LA
71301-3842
US

IV. Provider business mailing address

923 STUBBLEFIELD RD
EVERGREEN LA
71333-2619
US

V. Phone/Fax

Practice location:
  • Phone: 318-445-6386
  • Fax: 318-445-7680
Mailing address:
  • Phone: 318-445-6386
  • Fax: 318-445-7680

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPST.026410
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: