Brian House
Nurse Anesthetist, Certified Registered in Shreveport, LA. Individual provider (NPI-1).
NPI number1013554302
StatusActive
Last updated in NPPESDec 31, 2024
Details
- NPI
- 1013554302
- Entity type
- Individual (NPI-1)
- Name
- Brian House
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 5, 2019
- Certification date
- Dec 31, 2024
- Last updated
- Dec 31, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 211779 | LA | Yes |
Practice location
1541 Kings HwyShreveport, LA 71103-4228
Phone 318-626-0000
Mailing address
1541 Kings HwyShreveport, LA 71103-4228
Phone 318-626-0287
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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