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BROWN SUGAR HEALTH LLC
NPI 1013732940
Clinic/Center - Medical Specialty in Bossier City, LA

Active since November 15, 2024
507 BROMPTON LN, BOSSIER CITY, LA 71111(818) 515-7991 Get Directions Write a Review

NPPES record last updated: June 6, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 6, 2026, Nov 15, 2024 (2 updates tracked since 2024).

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Secondary Taxonomies
  4. Authorized Official
  5. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Medical Specialty

About BROWN SUGAR HEALTH LLC

This page provides the complete NPI Profile along with additional information for Brown Sugar Health Llc, a provider established in Bossier City, Louisiana operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1013732940 assigned on November 2024. The practitioner's primary taxonomy code is 261QM2500X. The provider is registered as an organization and their NPI record was last updated June 2026. The authorized official of this NPI record is Dr. Derrick Wayne Smith Md (Ceo)

NPI
1013732940 Verify this NPI
Provider Name
BROWN SUGAR HEALTH LLC
Entity Type
Organization
Location Address
507 BROMPTON LN BOSSIER CITY, LA 71111
Location Phone
(818) 515-7991
Mailing Address
507 BROMPTON LN BOSSIER CITY, LA 71111
Mailing Phone
(818) 515-7991
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-15-2024
Last Update Date
06-06-2026
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Medical Specialty

Taxonomy Code
261QM2500X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization		 License No. (State)
1251S00000XAgencies

Community/Behavioral Health

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. DERRICK WAYNE SMITH MD

Authorized Official Title
CEO
Authorized Official Phone
(818) 515-7991

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Frequently Asked Questions

What is BROWN SUGAR HEALTH LLC's NPI number?

The NPI number assigned to this healthcare provider is 1013732940, enumerated as an "organization" on November 15, 2024.

Where is the provider located?

The provider is located at 507 BROMPTON LN BOSSIER CITY, LA 71111 and the phone number is (818) 515-7991.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.