| Dr Brian Lee Crenshaw, MD | |
|
4705 Taldon Ln, Benton, LA 71006-4902 | |
| (318) 564-4733 | |
| Not Available |
| Full Name | Dr Brian Lee Crenshaw |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 16 Years |
| Location | 4705 Taldon Ln, Benton, Louisiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639464290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | MD.206706 (Louisiana) | Primary |
| 207R00000X | Internal Medicine | MD.206706 (Louisiana) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christus Health Shreveport - Bossier | Shreveport, LA | Hospital |
| Christus St Frances Cabrini Hospital | Alexandria, LA | Hospital |
| Minden Medical Center | Minden, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medical Center Anesthesiologists | 6608814843 | 13 |
| Entity Name | Medical Center Anesthesiologists |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669469748 PECOS PAC ID: 6608814843 Enrollment ID: O20050419001114 |
| Entity Name | Youngs Professional Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922178599 PECOS PAC ID: 2163524992 Enrollment ID: O20070226000608 |
| Entity Name | Lsu Health Sciences Center Shreveport Faculty Group Practice |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013374222 PECOS PAC ID: 4082902721 Enrollment ID: O20161012000307 |
| Entity Name | Signify Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210210001575 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brian Lee Crenshaw, MD 4705 Taldon Ln, Benton, LA 71006-4902 Ph: (318) 564-4733 | Dr Brian Lee Crenshaw, MD 4705 Taldon Ln, Benton, LA 71006-4902 Ph: (318) 564-4733 |