MEDICARE: MR. BRIAN K THOMAS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	201131	LA
2	163WC0200X	Critical Care Medicine Registered Nurse	201131	LA

General Provider Information

NPI Number	:	1104654250
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. BRIAN K THOMAS

Provider Business Mailing Address
First Line	:	542 MOCKINGBIRD LN
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71105-4322
Country	:	US
Telephone Number	:	318-840-2209
Fax Number	:

Provider Business Practice Location Address
First Line	:	542 MOCKINGBIRD LN
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71105-4322
Country	:	US
Telephone Number	:	318-840-2209
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/22/2024
Last Update Date	:	12/30/2025

Similar Medicare Providers

1215091848 — LAWRENCE CHIROPRACTIC CLINIC, INC.
Practice Location Address:

6224 HEARNE AVE
SHREVEPORT, LA
71108-4322

Practice Phone: 318-525-0525
Practice Fax: 318-525-1272

1619860095 — JESSICA RUTH SMITH
Practice Location Address:

660 STEPHENSON ST
SHREVEPORT, LA
71104-4322

Practice Phone: 985-722-2860
Practice Fax:

1760092282 — STEPHANIE DENNISON
Practice Location Address:

1666 E BERT KOUNS INDUSTRIAL LOOP STE 105
SHREVEPORT, LA
71105-5718

Practice Phone: 318-212-3520
Practice Fax:

1780705970 — DR. MARC A PINTO D.C.
Practice Location Address:

8610B FERN AVE
SHREVEPORT, LA
71105-5639

Practice Phone: 318-220-8753
Practice Fax: 318-220-8764

1174489892 — MS. CHRISTIANNA M LOCKETT
Practice Location Address:

3776 YOUREE DR
SHREVEPORT, LA
71105-2132

Practice Phone: 318-670-3159
Practice Fax: 318-754-4766

1780240390 — SHANTEL SHELTON-ROGERS
Practice Location Address:

3004 KNIGHT ST STE 149
SHREVEPORT, LA
71105-2502

Practice Phone: 318-227-8390
Practice Fax: 318-429-2414

Directions to “ MR. BRIAN K THOMAS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.