Organization Active NPI

Brian Babiak MD and Willis-Knighton Medical Center

  • Psychiatry Physician
  • Shreveport, LA
National Provider Identifier
1346286804
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
BRIAN BABIAK MD AND WILLIS-KNIGHTON MEDICAL CENTER
Practice address
2514 Bert Kouns Loop
Suite 7
Shreveport, LA 71118-3146
Phone
(318) 212-5801
Fax
(318) 212-5805
NPI assigned
Jun 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Authorized official

Name
Greg J Gavin
Title
Network Administrator
Phone
(318) 212-5801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

2514 Bert Kouns Loop
Suite 7
Shreveport, LA 71118-3146

Mailing address

2514 Bert Kouns Loop
Suite 7
Shreveport, LA 71118-3146
Phone (318) 212-5801

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2514 Bert Kouns Industrial Loop
Ste 7
Shreveport, LA 71118
Phone (318) 212-5801

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1346286804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2514 BERT KOUNS LOOP",
            "address_2": "SUITE 7",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183146",
            "telephone_number": "318-212-5801",
            "fax_number": "318-212-5805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2514 BERT KOUNS LOOP",
            "address_2": "SUITE 7",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183146",
            "telephone_number": "318-212-5801",
            "fax_number": "318-212-5805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN BABIAK MD AND WILLIS-KNIGHTON MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "GAVIN",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "NETWORK ADMINISTRATOR",
        "authorized_official_telephone_number": "318-212-5801"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "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 Nov 15, 2007; 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.