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DR. BRUCE K MCCORMICK PHD NPI 1043327968


NPI Information

NPI: 1043327968
Provider Name: DR. BRUCE K MCCORMICK, PHD
Classification: Psychologist - 103TP0016X
Entity Type: Individual

Specialization: Prescribing (Medical)

PECOS Registration: Yes

Address:
1842 IRVING PL
SHREVEPORT, LA
ZIP 71101
Phone: (318) 865-7500
Get Directions

DR. Bruce K Mccormick, PHD is a prescribing (medical) psychologist in Shreveport, LA. The provider is a licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. DR. Bruce K Mccormick, PHD NPI is 1043327968. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1842 IRVING PL
SHREVEPORT, LA
ZIP 71101-608
Phone: (318) 865-7500
Fax: (318) 868-2035

The NPI 1043327968 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 8/24/2006 and was last updated on 4/5/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103T00000XPsychologist631LOUISIANANo
2103TC1900XPsychologistCounseling631LOUISIANANo
3103TC2200XPsychologistClinical Child & Adolescent631LOUISIANANo
4103TF0000XPsychologistFamily631LOUISIANANo
5103TS0200XPsychologistSchool631LOUISIANANo
6106H00000XMarriage & Family Therapist631LOUISIANANo
7103TP0016XPsychologistPrescribing (Medical)631MPLOUISIANAYes
8103TP0016XPsychologistPrescribing (Medical)MPAP.000013LOUISIANANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.