Active NPI
Harold Ryan Bicknell Jr., MD
- Orthopaedic Surgery Physician
- Shreveport, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 018454
- Practice address
- 7925 Youree Dr
Suite 200
Shreveport, LA 71105-5538 - Phone
- (318) 798-6700
- Fax
- (318) 798-6799
- NPI assigned
- Jun 30, 2006
- Last updated
- Nov 15, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 018454 | LA | Primary |
Addresses
Primary practice location
7925 Youree Dr
Suite 200
Shreveport, LA 71105-5538
Mailing address
7925 Youree Dr
Suite 200
Shreveport, LA 71105-5538
Phone (318) 798-6700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1916218 | 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Louisiana State University School of Medicine in Shreveport, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1541 Kings Hwy
Shreveport, LA 71103-4228
Phone (318) 675-5000
8961 Youree Dr
Shreveport, LA 71115-3001
Phone (318) 671-8772
Hospital & facility affiliations
- Ochsner Lsu Health Shreveport
- Ochsner Lsu Health Shreveport-St Mary Medical Cent
- Willis Knighton Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018454 | LA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lsu Health Sciences Center Shreveport Faculty Group Practice | Orthopaedic Surgery | Current | Accepting new patients |
| Shriners Hospitals for Children | Current | Accepting new patients | |
| Shriners Hospitals for Children | Current | Accepting new patients | |
| Brfhh Shreveport LLC | Past | Accepting new patients |
Locations
1501 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0434
1512 W Kirby Pl
Shreveport, LA 71103
Phone (318) 626-0177
1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287
1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402
3100 Samford Ave
Shreveport, LA 71103
Phone (318) 222-5704
950 Olive St
Shreveport, LA 71104
Phone (318) 221-1581
Interoperability endpoints
- hbicknell911638@direct.ochsner.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Shreveport, LA
- NPI 1013374222
Orthopaedic Surgery
-
- Children's Hospital
- Shreveport, LA
- NPI 1679617849
-
dba Cornerstone Rehabilitation
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Shreveport, LA
- NPI 1659518041
-
dba Shriners Children's Hawaii
- Clinic/Center
- Aiea, HI
- NPI 1568299857
-
dba University Health Shreveport
- General Acute Care Hospital
- Shreveport, LA
- NPI 1912909912
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ochsner LSU Health Shreveport - St. Mary Medical Center
- Women's Hospital
- Shreveport, LA
- NPI 1285253252
-
dba Ochsner LSU Health Shreveport
- General Acute Care Hospital
- Shreveport, LA
- NPI 1427536325
-
dba WK Bossier Health Center
- General Acute Care Hospital
- Bossier City, LA
- NPI 1003968579
-
dba Willis Knighton South Hospital
- General Acute Care Hospital
- Shreveport, LA
- NPI 1124170691
-
dba WK Pierremont Health Center
- General Acute Care Hospital
- Shreveport, LA
- NPI 1275685539
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1568461572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195084800000",
"number": "1245268762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7925 YOUREE DR",
"address_2": "SUITE 200",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711055538",
"telephone_number": "318-798-6700",
"fax_number": "318-798-6799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7925 YOUREE DR",
"address_2": "SUITE 200",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711055538",
"telephone_number": "318-798-6700",
"fax_number": "318-798-6799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BICKNELL",
"first_name": "HAROLD",
"middle_name": "RYAN",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2007-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "LA",
"license": "018454",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1916218",
"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 Nov 15, 2007; 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.