Brett A. Koder
Otolaryngologist (ENT Doctor)
7847 Youree Dr
Shreveport
, Louisiana 71105-5505
Brett A. Koder
Otolaryngologist (ENT Doctor)
7847 Youree Dr
Shreveport
, Louisiana 71105-5505
(318) 212-3907
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
Languages spoken
- English
Location
First Address
- Brett A. Koder
- 7847 Youree Dr
- Shreveport, LA
- Zip : 71105-5505
- Fax : (318) 212-3907
- Phone : (318) 212-3960
Second Address
- Brett A. Koder
- 7847 Youree Dr
- Shreveport, LA
- Zip : 71105-5505
- Fax : (318) 212-3907
- Phone : (318) 212-3960
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | MD.017292 | LA |
National Provider Identifier
| NPI | 1073508016 |
|---|---|
| Provider Name | Brett A. Koder |
| First Address | Shreveport, LA 71105-5505 |
| Second Address | Shreveport, LA 71105-5505 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/09/2005 |
| Last Update Date | 24/06/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 040011888 | RAILROAD MEDICARE (01) | NC |
| 1041160 | UNITED HEALTHCARE (01) | NC |
| 120247 | (05) | SC |
| 15359 | PARTNERS HEALTHPLAN (01) | NC |
| 163923 | MIDSOUTH INS (01) | NC |
| 1974677 | (05) | LA |
| 2019474 | AETNA HEALTHPLAN (01) | NC |
| 2103801 | MAMSI (01) | NC |
| 2567929006 | CIGNA HEALTHCARE (01) | NC |
| 269370YNUV | MEDICARE PTAN (01) | LA |
| 343004 | COVENTRY HEALTHCARE (01) | NC |
| 50035 | BLUE CROSS BLUE SHIELD (01) | NC |
| 73986 | MEDCOST (01) | NC |
| 8950035 | (05) | NC |
| B92541 | (02) | NC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.