INJURYMD OF BOSSIER LLC NPI 1073365094

NPI Information

  • NPI: 1073365094
  • Provider Name: INJURYMD OF BOSSIER, LLC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 5015 SHED RD STE 500
    BOSSIER CITY, LA
    ZIP 71111
  • Phone: (318) 741-5858

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NPI Details

INJURYMD OF BOSSIER, LLC is a clinic center in Bossier City, LA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). INJURYMD OF BOSSIER, LLC NPI is 1073365094. The provider is registered as an organization entity type.

The provider's business location address is:

5015 SHED RD STE 500
BOSSIER CITY, LA
ZIP 71111-587
Phone: (318) 741-5858
Fax: (318) 741-4496

The provider's authorized official is Brady Crenshaw .
The authorized official title is Chief Administrative Officer and has the following contact phone number (318) 751-9100.

The enumeration date for this NPI number is 4/3/2024 and was last updated on 4/3/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes
2261QP2000XClinic/CenterPhysical TherapyNo
3261QX0100XClinic/CenterOccupational MedicineNo

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: 3/30/2025

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