Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Holliway Medical Clinic LLC

Pediatrics Physician in Shreveport, LA · enumerated 2007 · authorized official Brondwyn Holliway, Physician.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1891833869

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Registry record

Entity type Organization (Type 2)

Legal business name Holliway Medical Clinic LLC

Other name <Unavail>

Practice address 3824 Hearne Ave, Shreveport, LA, 71103

Phone (318) 635-8606

Fax (318) 635-1265

Enumeration date Feb 2, 2007

Last updated in NPPES Aug 22, 2020

Taxonomy & classification

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License 021100 (LA) Primary

Authorized official

Name Brondwyn Holliway

Title Physician

Phone (318) 635-8606

Other identifiers

Identifier	Type	State	Issuer
1966207	Medicaid	LA	-
1449423	Other	LA	GROUP #

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.

Where is Holliway Medical Clinic LLC located?

The practice location on file with NPPES is in Shreveport, LA.

Providers at this address

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Brondwyn Holliway Pediatrics Physician · Shreveport, LA NPI 1790818359

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.