Injurymd of Bossier, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

INJURYMD OF BOSSIER, LLC

Practice address

5015 Shed Rd Ste 500
Bossier City, LA 71111-5587

Phone

(318) 741-5858

Fax

(318) 741-4496

NPI assigned

Apr 3, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brady Crenshaw

Title

Chief Administrative Officer

Phone

(318) 751-9100

Specialties & licenses 3

Addresses

Other names 1

• InjuryMD Bossier Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Regina Renee Willis, N.P.

  • Occupational Health Nurse Practitioner
  • Bossier City, LA
  • NPI 1306904412
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1073365094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 678111",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752678111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5015 SHED RD STE 500",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711115587",
            "telephone_number": "318-741-5858",
            "fax_number": "318-741-4496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INJURYMD OF BOSSIER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-03",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "CRENSHAW",
        "authorized_official_first_name": "BRADY",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "318-751-9100"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "InjuryMD Bossier",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Margaret Hurd, M.S., CF-SLP
• Twyla Hurst, FNP
• Alexander Husted, CRNA
• Indep Anesthesia Services of la LLC
• Abbygayle Ingles
• Inner Strength Behavioral Health LLC
• Interim Healthcare Staffing of North la., Inc
• Val H. Irion, M.D.
• Brenda Iverson
• Gary Iverson

• Clinic/Center in Bossier City, LA
• Providers in Bossier City, LA by specialty
• Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.