Active NPI
Karl K Bilderback, MD and Willis-Knighton Medical Center
- Orthopaedic Hand Surgery Physician
- Shreveport, LA
National Provider Identifier
1366488173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Hand Surgery Physician
- Legal business name
- KARL K BILDERBACK, MD AND WILLIS-KNIGHTON MEDICAL CENTER
- Practice address
- 7925 Youree Dr
Suite 200
Shreveport, LA 71105-5538 - Phone
- (318) 798-6700
- Fax
- (318) 798-6799
- NPI assigned
- Jun 21, 2006
- Organization subpart
- No
NPPES NPI Registry
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) 798-6700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Hand Surgery Physician | 207XS0106X | 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
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Skilled Nursing Facility
- Shreveport, LA
- NPI 1144267451
Member Of
Locations
7925 Youree Dr
Ste 200
Shreveport, LA 71105
Phone (318) 212-3610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1366488173",
"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": {
"organization_name": "KARL K BILDERBACK, MD AND WILLIS-KNIGHTON MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-21",
"last_updated": "2020-08-22",
"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": "318-798-6700"
},
"taxonomies": [
{
"code": "207XS0106X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Hand Surgery",
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.