Individual
JOHN JOSEPH BRINKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
Mailing address
1512 W KIRBY PL, SHREVEPORT, LA 71103-3822
(318) 626-0284
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
311531
LA
207W00000X
Ophthalmology Physician
MD2014-0648
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2489593
—
LA
05
—
55786502
—
NM
Enumeration date
08/11/2009
Last updated
03/22/2019
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