Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Dewayne Bricker, PA-C

Individual provider Physician Assistant · NPI 1790870897

Mr. Dewayne Bricker, PA-C is a Physician Assistant in Shreveport, Louisiana. Licensed in Louisiana and Texas. Registered with an NPI since 2006.

Licensed in
LA, TX
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1460 E Bert Kouns Loop
Shreveport, LA 71105-5644
Phone: (318) 797-2955
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.A10376.RX (LA)
Physician Assistant Taxonomy 363A00000X · Licence PA 03866 (TX)

Record details

NPI number1790870897
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 4, 2006
Last updated in NPPESApril 26, 2013

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