ROBERT BRUCE JORDAN MD NPI 1316988900

NPI Information

  • NPI: 1316988900
  • Provider Name: ROBERT BRUCE JORDAN, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • Address: 253 WILDERNESS DR
    BOYCE, LA
    ZIP 71409
  • Phone: (318) 443-2418

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NPI Details

Robert Bruce Jordan, MD is a diagnostic radiology radiology in Boyce, LA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Robert Bruce Jordan, MD NPI is 1316988900. 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:

253 WILDERNESS DR
BOYCE, LA
ZIP 71409-618
Phone: (318) 443-2418
Fax: (318) 443-2410

The enumeration date for this NPI number is 6/8/2006 and was last updated on 7/7/2009.

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
12085R0202XRadiologyDiagnostic RadiologyC26156CALIFORNIANo
22085R0202XRadiologyDiagnostic RadiologyJ1277TEXASNo
32085R0202XRadiologyDiagnostic RadiologyMD.009180LOUISIANAYes

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
100C261560MEDICAIDCALIFORNIA
2WC26156AMEDICARE PIN
3B61295MEDICARE UPIN
4GR0106037MEDICAIDCALIFORNIA
5NM301963MEDICARE PINNEW MEXICO
6WC26156FMEDICARE PINCALIFORNIA

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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