NPI Code Detail JSON Logo

1295673002 NPI number — EDWARD BROWN AND JESSICA ULMER SPECIALTY PARTNERS OF LOUISIANA LLC

NPI Number: 1295673002
Health Care Provider/Practitioner: EDWARD BROWN AND JESSICA ULMER SPECIALTY PARTNERS OF LOUISIANA LLC

Information about “1295673002” NPI (EDWARD BROWN AND JESSICA ULMER SPECIALTY PARTNERS OF LOUISIANA LLC) exists in 1295673002 in HTML format HTML  |  1295673002 in plain Text format TXT  |  1295673002 in PDF (Portable Document Format) PDF  |  1295673002 in an XML format XML  formats.

NPI Number : 1295673002 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1295673002",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "EDWARD BROWN AND JESSICA ULMER SPECIALTY PARTNERS OF LOUISIANA LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "820 W 42ND ST STE 2300",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SCOTTSBLUFF",
    "MailingAddressStateName": "NE",
    "MailingAddressPostalCode": "69361-5016",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "308-260-0241",
    "MailingAddressFaxNumber": "308-260-0248",
    "FirstLinePracticeLocationAddress": "4429 CHASTANT ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "METAIRIE",
    "PracticeLocationAddressStateName": "LA",
    "PracticeLocationAddressPostalCode": "70006-2053",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "504-455-1625",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/23/2026",
    "LastUpdateDate": "03/23/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "RICHARDSON",
    "AuthorizedOfficialFirstName": "KRYSTAL",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "DIRECTOR OF RCM",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "214-934-7995",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1223X0400X",
        "TaxonomyName": "Orthodontics and Dentofacial Orthopedics Dentistry",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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