Whalio Doctors

NPI 1013732940

Brown Sugar Health LLC

Organisation Medical Specialty Clinic/Center Bossier City, LA

Practice location

Address
507 Brompton Ln, Bossier City, LA 71111-8208
Phone
(818) 515-7991

Authorised official

Name
Derrick Wayne Smith
Title
Ceo
Phone
(818) 515-7991

Registered specialties (2)

Medical Specialty Clinic/Center Primary
Ambulatory Health Care Facilities Taxonomy 261QM2500X
Community/Behavioral Health Agency
Agencies Taxonomy 251S00000X

Registry record

NPI
1013732940
Entity type
Organization
NPI issued
15 Nov 2024
Record last updated
6 Jun 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.