Healthcare Provider Details

I. General information

NPI: 1508945700
Provider Name (Legal Business Name): BRIAN EDWARD SCHMIDT DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 12/07/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3510 SEVERN AVE
METAIRIE LA
70002-3444
US

IV. Provider business mailing address

85 DOESCHER DRIVE
HARAHAN LA
70123-4855
US

V. Phone/Fax

Practice location:
  • Phone: 504-455-1777
  • Fax: 504-455-5361
Mailing address:
  • Phone: 504-258-3889
  • Fax: 504-737-6400

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberPD185R
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: