NPIMap

Organization Active NPI

Moore Medical Inc

Doing business as Buckner Prosthetics and Orthotics

  • Prosthetic/Orthotic Supplier
  • Shreveport, LA
National Provider Identifier
1184687931
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
CO004273 Issued in LA
Legal business name
MOORE MEDICAL INC
Doing business as
Buckner Prosthetics and Orthotics
Pontchartrain Orthotics & Prosthetics
Practice address
2405 Line Ave
Shreveport, LA 71104-3019
Phone
(318) 908-0034
Fax
(318) 908-0035
NPI assigned
Apr 11, 2006
Last updated
Dec 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Authorized official

Name
Mr. Stephen J Singleton, CPNPI 1871887653
Title
President
Phone
(601) 201-5521

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X CO004273 LA Primary

Addresses

Primary practice location

2405 Line Ave
Shreveport, LA 71104-3019

Mailing address

2089 Lakeland Dr
Jackson, MS 39216-5010
Phone (601) 944-1130

Other names 2

  • Buckner Prosthetics and Orthotics Doing business as
  • Pontchartrain Orthotics & Prosthetics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930053868 LA DME Supplier - Medical Supply Company With Orthotic-ProstheticDME Supplier - Medical Supply Company With Prosthetic PersonnelDME Supplier - Orthotic PersonnelDME Supplier - Prosthetic PersonnelDME Supplier - Medical Supply Company With Pedorthic Personnel 2062523897 Practice locations: Shreveport, LA

National Provider Directory

National Provider Directory
Tax ID family
Moore Medical Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4061 Highway 59
Ste C
Mandeville, LA 70471
Phone (985) 629-0960

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765324800000",
    "number": "1184687931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2089 LAKELAND DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392165010",
            "telephone_number": "601-944-1130",
            "fax_number": "601-355-7476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 LINE AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711043019",
            "telephone_number": "318-908-0034",
            "fax_number": "318-908-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORE MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A",
        "authorized_official_last_name": "SINGLETON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-201-5521",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CP"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "LA",
            "license": "CO004273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buckner Prosthetics and Orthotics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pontchartrain Orthotics & Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.