RANDALL P. BREWER MD – NPI #1538130018
Pain Medicine

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

RANDALL BREWER is a physician located in SHREVEPORT, LA. NPPES has assigned the NPI number 1538130018 to RANDALL BREWER on January 31, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208VP0014X from the Health Care Provider Taxonomy code set, which is classified as Pain Medicine, specializing in Interventional Pain Medicine Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was last updated on Oct 04, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RANDALL BREWER below.

NPI Profile for
RANDALL P. BREWER

NPI Number
1538130018
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
RANDALL P. BREWER
Credentials
MD
Primary location
8731 PARK PLAZA DR
SHREVEPORT, LA 71105
Phone: (318) 797-5848 Fax: (318) 797-5844
2 Other location(s):
1549 E 70th St Ste 300
Shreveport, LA 71105-5056
Phone: (318) 300-3898
Fax: (318) 797-4241
8731 Park Plaza Dr Ste B
Shreveport, LA 71105-5682
Phone: (318) 703-2643
Fax: (318) 703-2645
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Oct 04, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for RANDALL BREWER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherCAQH10915651
medicaidLA1177458
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208VP0014X
- Pain Medicine / Interventional Pain Medicine (Primary)
LA MD.021953
208VP0000X
- Pain Medicine / Pain Medicine
LA MD.021953
2084P2900X
- Psychiatry & Neurology / Pain Medicine
LA MD.021953
207LP2900X
- Anesthesiology / Pain Medicine
LA MD.021953
207L00000X
- Anesthesiology
LA MD.021953

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
8731 PARK PLAZA DR,
SHREVEPORT, LA 77025-1669

Additional Information

Education
LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT - Graduated 1993
Accepts Medicare
This provider may accept Medicare Assignment. The Medicare-approved amount is the total the doctor or supplier can be paid. When a doctor accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsurance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
RANDALL BREWER is affiliated with the following medical group(s):
  • HOSPITAL
    • CHRISTUS SHREVEPORT-BOSSIER HEALTH SYSTEM
      1453 E BERT KOUNS INDUSTRIAL LOOP
      SHREVEPORT, LA 71105
    • WILLIS KNIGHTON MEDICAL CENTER, INC
      2600 GREENWOOD ROAD
      SHREVEPORT, LA 71103

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.