NPIMap

Organization Active NPI

Urgent Care of Louisiana, LLC

  • Urgent Care Clinic/Center
  • Shreveport, LA
National Provider Identifier
1295050235
Registry record updated Oct 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
MD.025069 Issued in LA
Legal business name
URGENT CARE OF LOUISIANA, LLC
Practice address
6841 Fern Ave
Suite 100
Shreveport, LA 71105
Phone
(318) 868-2273
Fax
(318) 797-1516
NPI assigned
Apr 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2011

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

Authorized official

Name
Dr. Paul Bracey, M.D.
Title
LLC Manager
Phone
(318) 868-2273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X MD.025069 LA Primary

Addresses

Primary practice location

6841 Fern Ave
Suite 100
Shreveport, LA 71105

Mailing address

6841 Fern Ave
Suite 100
Shreveport, LA 71105
Phone (318) 868-2273

National Provider Directory

National Provider Directory

Locations

6841 Fern Ave
Ste 100
Shreveport, LA 71105
Phone (318) 626-4200

NPI Registry JSON

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

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318204800000",
    "number": "1295050235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6841 FERN AVE",
            "address_2": "SUITE 100",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71105",
            "telephone_number": "318-868-2273",
            "fax_number": "318-797-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6841 FERN AVE",
            "address_2": "SUITE 100",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71105",
            "telephone_number": "318-868-2273",
            "fax_number": "318-797-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENT CARE OF LOUISIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-01",
        "last_updated": "2011-10-10",
        "status": "A",
        "authorized_official_last_name": "BRACEY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "LLC MANAGER",
        "authorized_official_telephone_number": "318-868-2273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "LA",
            "license": "MD.025069",
            "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 Oct 10, 2011; 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.