Provider Demographics
NPI:1982048237
Name:BREARD, ERIN ROBINSON (MD)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:ROBINSON
Last Name:BREARD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 N 7TH ST
Mailing Address - Street 2:
Mailing Address - City:WEST MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71291-4416
Mailing Address - Country:US
Mailing Address - Phone:318-651-7000
Mailing Address - Fax:318-651-7012
Practice Address - Street 1:3995 STERLINGTON RD
Practice Address - Street 2:STE A
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71203-3723
Practice Address - Country:US
Practice Address - Phone:318-329-9447
Practice Address - Fax:318-329-9429
Is Sole Proprietor?:No
Enumeration Date:2013-04-17
Last Update Date:2016-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD3207282207Q00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program