Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DEWAYNE BRICKER, PA-C
ActivePhysician Assistant · SHREVEPORT, LA
Registration Details
- NPI Number
- 1790870897
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 4, 2006 (19.559309231298 yrs)
- Last Updated
- Apr 26, 2013
- Licenses
-
PA 03866 (TX)PA.A10376.RX (LA)
Practice Information
- Address
-
1460 E BERT KOUNS LOOPSHREVEPORT, LA, 711055644Browse LA providers · Browse ZIP 71105
- Phone
- 3187972955
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in SHREVEPORT, LA
| Name | Credential | NPI |
|---|---|---|
| DONNA TERRY | PA-C | 1104823947 |
| KIMBERLY E MEYER | PA-C | 1760475651 |
| KENNETH BETZING | PA-C | 1053304048 |
| MARY ALEXIS K GREEN | PA-C | 1366436487 |
| MRS. LORI A STACKOW | PAC | 1467449835 |
| MR. MARVIN KEITH RAINWATER | PA | 1457310773 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.