IndividualActive
Larry Broadwell, MD
NPI 1326194036 · Rheumatology Physician · Shreveport, LA
Provider details
- NPI number
- 1326194036
- Entity type
- Individual
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 013598 (LA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
820 Jordan St
Suite 201
Shreveport, LA 71101-4518
Phone: (318) 221-0399
Fax: (318) 221-1940
Approximate (ZIP-level) locationGet directions
Mailing address
820 Jordan St
Shreveport, LA 71101-4518
Registry dates
- Enumerated
- 2007-01-26
- Last updated
- 2007-11-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.