Active NPI
Barbara Lynn Bruner, N.P.
- Neonatal Nurse Practitioner
- Shreveport, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- AP01215
- Practice address
- 1541 Kings Hwy
Shreveport, LA 71103-4228 - Phone
- (318) 626-0000
- NPI assigned
- Jul 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | AP01215 | LA | Primary |
Addresses
Primary practice location
1541 Kings Hwy
Shreveport, LA 71103-4228
Mailing address
1501 Kings Hwy
Department of Pediatrics
Shreveport, LA 71103-4228
Phone (318) 657-8600
Other practice location 1
1501 Kings Hwy
Department of Pediatrics
Shreveport, LA 71103-4228
Phone (318) 657-8600
Other practice location 2
2600 Saint Michael Dr
Texarkana, TX 75503-2372
Phone (903) 614-2688
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1459186 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Health Shreveport LLC | Nurse Practitioner | Current | Accepting new patients |
| Lsu Health Sciences Center Shreveport Faculty Group Practice | Current | Accepting new patients | |
| Brfhh Shreveport LLC | Past | Accepting new patients |
Locations
1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287
1512 W Kirby Pl
Shreveport, LA 71103
Phone (318) 626-0177
1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402
1501 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0434
Interoperability endpoints
- bbruner311696@christushealth.direct-ci.net
Organizations & group practices 3
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
-
- Nurse Practitioner
- Shreveport, LA
- NPI 1619443611
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1912909912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711065600000",
"number": "1013937994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 KINGS HWY",
"address_2": "DEPARTMENT OF PEDIATRICS",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711034228",
"telephone_number": "318-657-8600",
"fax_number": "318-675-8638"
},
{
"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": "1501 Kings Hwy",
"address_2": "Department of Pediatrics",
"address_purpose": "LOCATION",
"city": "Shreveport",
"state": "LA",
"postal_code": "711034228",
"country_code": "US",
"telephone_number": "318-657-8600",
"fax_number": "318-675-8638",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2600 Saint Michael Dr",
"address_purpose": "LOCATION",
"city": "Texarkana",
"state": "TX",
"postal_code": "755032372",
"country_code": "US",
"telephone_number": "903-614-2688",
"fax_number": "903-614-6948",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRUNER",
"first_name": "BARBARA",
"middle_name": "LYNN",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-20",
"last_updated": "2024-03-22",
"certification_date": "2021-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "LA",
"license": "AP01215",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1459186",
"state": "LA"
}
],
"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 Mar 22, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.