Active NPI
Russell Scott Anderson, MD
- Radiation Oncology Physician
- Shreveport, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 339029
- Practice address
- 1541 Kings Hwy
Shreveport, LA 71103-4228 - Phone
- (318) 626-0000
- NPI assigned
- Feb 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 13362 | MS | |
| Radiation Oncology Physician | 2085R0001X | 20165 | ND | |
| Radiation Oncology Physician | 2085R0001X | 339029 | LA | Primary |
| Radiation Oncology Physician | 2085R0001X | 19443 | AL | |
| Radiation Oncology Physician | 2085R0001X | 0101039991 | VA |
Addresses
Primary practice location
1541 Kings Hwy
Shreveport, LA 71103-4228
Mailing address
1512 W Kirby PL
Shreveport, LA 71103-3822
Other practice location 1
Southeast Physician Network
509 Energy Center Blvd Ste 804
Northport, AL 35473
Phone (205) 366-9740 ext. 1425
Other practice location 2
16000 Johnston Memorial Dr
Abingdon, VA 24211-7659
Phone (276) 258-1800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00121517 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060313000476 | MS | Practitioner - Radiation Oncology | 0547282733 | |
| I20231215003372 | LA | Practitioner - Radiation Oncology | 0547282733 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- University of Alabama School of Medicine, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lsu Health Sciences Center Shreveport Faculty Group Practice
Practice addresses (Care Compare)
1541 Kings Hwy
Shreveport, LA 71103-4228
Phone (318) 675-5000
Hospital & facility affiliations
- Ochsner Lsu Health Shreveport
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19443 | AL | MD | Pharmacist |
| 13362 | MS | MD | Radiation Oncology Physician |
| 20165 | ND | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lsu Health Sciences Center Shreveport Faculty Group Practice | Single Specialty | Current | Accepting new patients |
| Brfhh Shreveport LLC | Past | Accepting new patients |
Locations
1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287
1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402
1512 W Kirby Pl
Shreveport, LA 71103
Phone (318) 626-0177
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Shreveport, LA
- NPI 1013374222
LA, Single Specialty
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1912909912
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787270400000",
"number": "1013043009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1512 W KIRBY PL",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711033822",
"fax_number": "205-344-9992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1541 KINGS HWY",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711034228",
"telephone_number": "318-626-0000"
}
],
"practiceLocations": [
{
"address_1": "SOUTHEAST PHYSICIAN NETWORK",
"address_2": "509 ENERGY CENTER BLVD STE 804",
"address_purpose": "LOCATION",
"city": "NORTHPORT",
"state": "AL",
"postal_code": "35473",
"country_code": "US",
"telephone_number": "205-366-9740 x1425",
"fax_number": "205-344-9992",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16000 Johnston Memorial Dr",
"address_purpose": "LOCATION",
"city": "Abingdon",
"state": "VA",
"postal_code": "242117659",
"country_code": "US",
"telephone_number": "276-258-1800",
"fax_number": "276-628-1523",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDERSON",
"first_name": "RUSSELL",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-26",
"last_updated": "2026-08-21",
"certification_date": "2026-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "MS",
"license": "13362",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "ND",
"license": "20165",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "LA",
"license": "339029",
"primary": true
},
{
"code": "2085R0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Radiology, Radiation Oncology",
"state": "AL",
"license": "19443",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "VA",
"license": "0101039991",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00121517",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.