Provider Demographics
NPI:1356400733
Name:STRAND, BRIAN H (MD)
Entity type:Individual
Prefix:
First Name:BRIAN
Middle Name:H
Last Name:STRAND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:200 GREENLEAVES BLVD
Mailing Address - Street 2:SUITE 11
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70448-7018
Mailing Address - Country:US
Mailing Address - Phone:985-686-6277
Mailing Address - Fax:985-626-6209
Practice Address - Street 1:200 GREENLEAVES BLVD
Practice Address - Street 2:SUITE 11
Practice Address - City:MANDEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70448-7018
Practice Address - Country:US
Practice Address - Phone:985-626-6277
Practice Address - Fax:985-626-6209
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-08
Last Update Date:2015-06-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA0943OR208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1950653Medicaid
LA1950653Medicaid
LAE37083Medicare UPIN