Doctor profile · Federal record
Dr. Brandon Blackledge, DO
Student in an Organized Health Care Education/Training Program · Student in an Organized Health Care Education/Training Program · Shreveport, LA
- NPI 1376162065
- 6 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
2600 Greenwood RD
Shreveport, LA 711033908
(601) 953-7160 - Additional location
-
2500 N State St
Jackson, MS 392164500
(601) 984-5101
Credentials & registration
- NPI registered
- April 2020 — 6 yrs on file
- Profile last updated
- May 6, 2022
- Specialty taxonomy
- 390200000X — NUCC code
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1376162065. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$19
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Asensus Surgical, INC. | 1 | $18.71 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
13
Patients
13
Total drug cost
$32
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Promethazine Hcl | Generic | 13 | 13 | $32 |
Frequently asked questions
What is Dr. Brandon Blackledge's medical specialty?
Dr. Brandon Blackledge practices Student in an Organized Health Care Education/Training Program in Shreveport, LA.
Where does Dr. Brandon Blackledge practice?
Dr. Brandon Blackledge practices at 2600 Greenwood RD, Shreveport, LA 711033908. Office phone: 6019537160.
What is Dr. Brandon Blackledge's NPI?
Dr. Brandon Blackledge's National Provider Identifier (NPI) is 1376162065, issued by NPPES.