EDDIE D. JOHNSON MD NPI 1275514978

NPI Information

  • NPI: 1275514978
  • Provider Name: EDDIE D. JOHNSON, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 2508 BERT KOUNS LOOP
    SUITE 102
    SHREVEPORT, LA
    ZIP 71118
  • Phone: (318) 671-1291

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NPI Details

Eddie D. Johnson, MD is a family medicine in Shreveport, LA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Eddie D. Johnson, MD NPI is 1275514978. 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:

2508 BERT KOUNS LOOP
SUITE 102
SHREVEPORT, LA
ZIP 71118-133
Phone: (318) 671-1291
Fax: (318) 688-6014

The enumeration date for this NPI number is 11/9/2005 and was last updated on 12/28/2007.

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
1207Q00000XFamily Medicine013614LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11180289MEDICAIDLOUISIANA
25K061BD08MEDICARE PINLOUISIANA
3B60706MEDICARE UPIN
45K061MEDICARE PINLOUISIANA

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: 11/21/2025

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