1. Home
  2. Directory
  3. Louisiana
  4. Shreveport
  5. Pediatrics
  6. NPI Profile

DR. BRONDWYN HOLLIWAY M.D.
NPI 1790818359
Pediatrics in Shreveport, LA

Active since March 13, 2007
3824 HEARNE AVE, SHREVEPORT, LA 71103(318) 635-8606(318) 635-1265 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Brondwyn Holliway M.d. NPPES

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

DR. BRONDWYN HOLLIWAY M.D. (NPI 1790818359) is an individual pediatrics provider in Shreveport, Louisiana, licensed in Louisiana (021100) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1790818359
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. BRONDWYN HOLLIWAYCredential: M.D.
Location Address3824 HEARNE AVEShreveport, LA 71103-4328
Mailing Address3824 Hearne AveShreveport, LA 71103-4328 · (318) 635-8606 · Fax (318) 635-1265
Phone(318) 635-8606
Fax(318) 635-1265
Sole ProprietorYes
Enumeration DateMarch 13, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1790818359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in LA · 021100
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

3824 HEARNE AVE, Shreveport, LA 71103
Open in Google Maps ↗

Other Identifiers 4

Medicare UPINF60178LA
Medicare ID-Type Unspecified5R787LA
Medicaid1966207LA
Other1449423LA · Group Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

Other Providers at the Same Location NPPES

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

HOLLIWAY MEDICAL CLINIC LLC
Pediatrics
3824 HEARNE AVE
SHREVEPORT, LA 71103
Caddo Parish (318) 635-8606

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 Brondwyn Holliway's NPI number?

The NPI number for Brondwyn Holliway is 1790818359. It was assigned to this individual provider in the NPPES registry on March 13, 2007.

Where is Brondwyn Holliway located?

Brondwyn Holliway practices at 3824 Hearne Ave, Shreveport, LA 71103. The listed phone number is (318) 635-8606.

What is Brondwyn Holliway's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Brondwyn Holliway accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Brondwyn Holliway as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brondwyn Holliway was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.