MYRANDA BRODSKY DO
NPI 1407745631
Student in an Organized Health Care Education/Training Program in Shreveport, LA

Active since July 01, 2025
1501 KINGS HWY, SHREVEPORT, LA 71103(318) 626-0642 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Myranda Brodsky Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MYRANDA BRODSKY DO (NPI 1407745631) is an individual student in an organized health care education/training program in Shreveport, Louisiana and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1407745631
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMYRANDA BRODSKYCredential: DO
Location Address1501 KINGS HWYShreveport, LA 71103-4228
Mailing Address1501 Kings HwyShreveport, LA 71103-4228 · (318) 626-0642
Sole ProprietorYes
Enumeration DateJuly 1, 2025
NPPES CertifiedJuly 1, 2025
NPI 1407745631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

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.

1501 KINGS HWY, Shreveport, LA 71103

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
1501 KINGS HWY, DEPT. OF NEUROSURGERY
SHREVEPORT, LA 71103
Surgery (Plastic and Reconstructive Surgery)
1501 KINGS HWY
SHREVEPORT, LA 71103
Anesthesiology
1501 KINGS HWY, DEPARTMENT OF ANESTHESIA
SHREVEPORT, LA 71103
Physician Assistant
1501 KINGS HWY
SHREVEPORT, LA 71103
Surgery
1501 KINGS HWY, LSUHSC-S DEPARTMENT OF SURGERY
SHREVEPORT, LA 71103
Counselor
1501 KINGS HWY, LSUHSC-S DEPARMTENT OF PSYCHIATRY
SHREVEPORT, LA 71103
Family Medicine
1501 KINGS HWY, DEPARTMENT OF FAMILY MEDICINE
SHREVEPORT, LA 71103
Psychiatry & Neurology (Neurology)
1501 KINGS HWY, DEPARTMENT OF NEUROLOGY
SHREVEPORT, LA 71103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407745631, enumerated as an "individual" on July 01, 2025.

The provider is located at 1501 KINGS HWY SHREVEPORT, LA 71103 and the phone number is (318) 626-0642.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.