Individual
DR. BRENT K COMBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
8300 CONSTANTIN BLVD, BATON ROUGE, LA 70809-3489
(225) 374-1410
(225) 374-1616
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 526-0006
(225) 765-9291
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
DO.025843
LA
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
MD.025843
LA
208000000X
Pediatrics Physician
Primary
DO.025843
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09421371
—
MS
05
—
1046361
—
LA
Enumeration date
07/10/2006
Last updated
01/28/2022
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