SearchLouisiana183500000X

Brian Jordan

NPI 1710896816 · on the registry since 2026

Practice

Address
10200 Sullivan Rd
Baton Rouge, LA 70818
Phone
(225) 262-1413
Organisation at this address
Wal-Mart Stores East Lp
Wal-Mart Louisiana, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-09-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana