NPIMap

Organization Active NPI

Overton Brooks VA Hospital

  • Audiologist
  • Shreveport, LA
National Provider Identifier
1265523997
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
5691 Issued in LA
Legal business name
OVERTON BROOKS VA HOSPITAL
Practice address
510 E Stoner Ave # 126
Shreveport, LA 71101-4243
Phone
(318) 424-6090
NPI assigned
Sep 27, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Robert F. Hall, M.S., CCC-ANPI 1720179039
Title
Audiology Coordinator
Phone
(318) 424-6090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 5691 LA Primary

Addresses

Primary practice location

510 E Stoner Ave # 126
Shreveport, LA 71101-4243

Mailing address

510 E Stoner Ave # 126
Shreveport, LA 71101-4243
Phone (318) 424-6090

Care Compare: Hospital

Medicare Care Compare
Listed as
Overton Brooks VA Medical Center (Shreveport)CCN 19048F
Overall star rating
2 of 5
Type
Acute Care - Veterans Administration
Ownership
Veterans Health Administration
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

National Provider Directory

National Provider Directory

Locations

510 E Stoner Ave
#126
Shreveport, LA 71101
Phone (318) 424-6090

Practitioners & affiliated clinicians

Practitioners 2

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": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265523997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 E STONER AVE # 126",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014243",
            "telephone_number": "318-424-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 E STONER AVE # 126",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014243",
            "telephone_number": "318-424-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVERTON BROOKS VA HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "AUDIOLOGY COORDINATOR",
        "authorized_official_telephone_number": "318-424-6090",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S., CCC-A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "LA",
            "license": "5691",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.