Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. BRIAN BROADWELL D.D.S.
NPI 1689679383
Dentist - General Practice in Shreveport, LA

Q: What is Brian Broadwell's NPI number?

The NPI number for Brian Broadwell is 1689679383. It was assigned to this individual provider in the NPPES registry on June 17, 2005.

Q: What is Brian Broadwell's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Brian Broadwell was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 17, 2005

8535 FERN AVE, SHREVEPORT, LA 71105(318) 798-3376(318) 798-3310 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Brian Broadwell D.d.s. NPPES

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

DR. BRIAN BROADWELL D.D.S. (NPI 1689679383) is an individual general practice provider in Shreveport, Louisiana, licensed in Louisiana (5313) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1689679383

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. BRIAN BROADWELLCredential: D.D.S.

Location Address8535 FERN AVEShreveport, LA 71105-5656

Mailing Address8535 Fern AveShreveport, LA 71105-5656 · (318) 798-3376 · Fax (318) 798-3310

Phone(318) 798-3376

Fax(318) 798-3310

Sole ProprietorNo

Enumeration DateJune 17, 2005

Last NPPES UpdateJuly 13, 2026

✔ NPI 1689679383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in LA · 5313

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

8535 FERN AVE, Shreveport, LA 71105

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Other Providers at the Same Location NPPES

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

DR. JOHNNY LYNN BLACK D.D.S.

Dentist (General Practice)

8535 FERN AVE
SHREVEPORT, LA 71105

Caddo Parish (318) 798-3376

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian Broadwell's NPI number?

The NPI number for Brian Broadwell is 1689679383. It was assigned to this individual provider in the NPPES registry on June 17, 2005.

Where is Brian Broadwell located?

Brian Broadwell practices at 8535 Fern Ave, Shreveport, LA 71105. The listed phone number is (318) 798-3376.

What is Brian Broadwell's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Brian Broadwell was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.