IndividualActive
Brinton Fegley, NP
NPI 1790759462 · Acute Care Nurse Practitioner · Shreveport, LA
Provider details
- NPI number
- 1790759462
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Male
- Sole proprietor
- No
- License
- AP04104 (LA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2727 Hearne Ave
Shreveport, LA 71103-3931
Phone: (318) 631-6400
Fax: (318) 631-0300
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 37388
Shreveport, LA 71133-7388
Registry dates
- Enumerated
- 2006-02-17
- Last updated
- 2021-06-24
- Certified
- 2021-06-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.