DR. Brandon Gage Blackledge, DO is a student in an organized health care education training program in Shreveport, LA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Brandon Gage Blackledge, DO NPI is 1376162065. 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:
2600 GREENWOOD RD
SHREVEPORT, LA
ZIP 71103-908
Phone: (601) 953-7160
The NPI 1376162065 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 4/13/2020 and was last updated on 5/6/2022.