MR. THOMAS L BRISCOE PA-C NPI 1992796189

NPI Information

NPI: 1992796189
Provider Name: MR. THOMAS L BRISCOE, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: DERMATOLOGY CENTER OF ACADIANA LLC

PECOS Registration: Yes

Address:
1245 S COLLEGE RD BLDG 5
LAFAYETTE, LA
ZIP 70503
Phone: (337) 235-6886
Get Directions

MR. Thomas L Briscoe, PA-C is a medical physician assistant in Lafayette, LA with 26 years of experience. MR. Thomas L Briscoe, PA-C NPI is 1992796189. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1245 S COLLEGE RD BLDG 5
LAFAYETTE, LA
ZIP 70503-917
Phone: (337) 235-6886
Fax: (337) 235-6892

The NPI 1992796189 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/4/2005 and was last updated on 7/10/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	183500000X	Pharmacist		PST.015227	LOUISIANA	No
2	363A00000X	Physician Assistant		A10327	LOUISIANA	No
3	363AM0700X	Physician Assistant	Medical	A10327	LOUISIANA	Yes
4	363AM0700X	Physician Assistant	Medical	A10327.RX	LOUISIANA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1351016	MEDICAID	LOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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