Provider Demographics
NPI:1073735338
Name:AUER, POWELL BRITAIN (MD)
Entity Type:Individual
Prefix:
First Name:POWELL
Middle Name:BRITAIN
Last Name:AUER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1455 E BERT KOUNS
Mailing Address - Street 2:SUITE #210
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71105
Mailing Address - Country:US
Mailing Address - Phone:318-798-4623
Mailing Address - Fax:318-798-4646
Practice Address - Street 1:1455 E BERT KOUNS
Practice Address - Street 2:SUITE #210
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71105
Practice Address - Country:US
Practice Address - Phone:318-798-4623
Practice Address - Fax:318-798-4646
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2020-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA202343207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1305171Medicaid
LA4N2356742Medicare PIN
LA4N235Medicare PIN