Healthcare Provider Details

I. General information

NPI: 1881042430
Provider Name (Legal Business Name): ALAN BRADSHAW CURTISS D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2016
Last Update Date: 10/17/2022
Certification Date: 10/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BAYNE-JONES ARMY COMMUNITY HOSPITAL 1585 3RD ST
FORT POLK LA
71459-5102
US

IV. Provider business mailing address

WALTER REED NATIONAL MILITARY CTR 8901 WISCONSIN AVENUE
BETHESDA MD
20889-0001
US

V. Phone/Fax

Practice location:
  • Phone: 337-531-3037
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number1782
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number1782
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: