Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brian Richard Carlson, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1255986097

Brian Richard Carlson, PHYSICIANASSISTANT is a Physician Assistant in Fort Polk, Louisiana. Licensed in Louisiana and Ohio. Registered with an NPI since 2019.

Licensed in
LA, OH
In the registry since
2019
Specialties on file
2

Practice location Address checks out

1585 3rd St
Fort Polk, LA 71459-5102
Phone: (614) 371-8434
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (LA)
Physical Therapist Taxonomy 225100000X · Licence PT018930 (OH)

Record details

NPI number1255986097
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedAugust 8, 2019
Last updated in NPPESJuly 15, 2026
Certification dateJuly 15, 2026

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