Individual provider Active NPI

Brian Sterling Dupree, MD

  • Diagnostic Radiology Physician
  • Shreveport, LA
National Provider Identifier
1275780447
Registry record updated Mar 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
300913 Issued in LA
Practice address
708 N Ashley Ridge Loop
#400
Shreveport, LA 71106-7234
Phone
(318) 470-5262
NPI assigned
Aug 19, 2008
Sex
Male
Sole proprietor
No

Organizations & group practices 12

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Emory University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Desoto Hospital Association 35 clinicians

Practice addresses (Care Compare)

207 Jefferson St
Mansfield, LA 71052-2603
Phone (318) 871-3109

Hospital & facility affiliations

  • Desoto Regional Health System Hospital, Mansfield, LA, CCN 190118
  • North Caddo Medical Center Hospital, Vivian, LA, CCN 191304

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
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20160130000116 LA Practitioner - Diagnostic Radiology 1759684442 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
6353GAMDDiagnostic Radiology Physician
300913LAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Desoto Hospital Association CurrentSince Sep 1, 2021 Accepting new patients
Sterling Spine, LLC Diagnostic Radiology CurrentSince May 17, 2018 Accepting new patients
North Caddo Hospital Service District CurrentSince Nov 15, 2022 Accepting new patients
Lsu Health Sciences Center Shreveport Faculty Group Practice CurrentSince Sep 1, 2020 Accepting new patients
Desoto Hospital Association CurrentSince Sep 1, 2021 Accepting new patients
Bayou Imaging & Interventions, LLC Diagnostic Radiology CurrentSince Jan 15, 2016 Accepting new patients
North Caddo Hospital Service District CurrentSince Nov 15, 2022 Accepting new patients
Desoto Hospital Association Current Accepting new patients
North Caddo Hospital Service District Past Accepting new patients
Brfhh Shreveport LLC Past Accepting new patients

Locations

130 Jefferson St
Mansfield, LA 71052
Phone (318) 872-2700

207 Jefferson St
Mansfield, LA 71052
Phone (318) 871-3109

112 N Forrest Rd
Plain Dealing, LA 71064
Phone (318) 326-7272

708 N Ashley Ridge Loop
Ste 400
Shreveport, LA 71106
Phone (318) 210-3315

1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402

1512 W Kirby Pl
Shreveport, LA 71103
Phone (318) 626-0177

1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287

815 S Pine St
Vivian, LA 71082
Phone (318) 375-3239

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 6353 GA
Diagnostic Radiology Physician 2085R0202X 300913 LA Primary

Addresses

NPPES NPI Registry

Primary practice location

708 N Ashley Ridge Loop
#400
Shreveport, LA 71106-7234

Mailing address

PO Box 5313
Shreveport, LA 71135-5313
Phone (318) 470-5262

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
2411195MedicaidLA
P01775384OtherLARAILROAD MEDICARE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 1, 2017.

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488326400000",
    "number": "1275780447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5313",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711355313",
            "telephone_number": "318-470-5262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 N ASHLEY RIDGE LOOP",
            "address_2": "#400",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711067234",
            "telephone_number": "318-470-5262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPREE",
        "first_name": "BRIAN",
        "middle_name": "STERLING",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-19",
        "last_updated": "2017-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "6353",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "300913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2411195",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01775384",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.