Active NPI
Biomedical Research Foundation of Northwest Louisiana
- Radiology Clinic/Center
- Shreveport, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- Legal business name
- BIOMEDICAL RESEARCH FOUNDATION OF NORTHWEST LOUISIANA
- Practice address
- 2120 Kings Hwy
Shreveport, LA 71103-4015 - Phone
- (318) 716-4000
- Fax
- (318) 716-4075
- NPI assigned
- Sep 29, 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
- Mr. James D Dean
- Title
- Executive Vice President/Coo
- Phone
- (318) 716-4100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | Primary |
Addresses
Primary practice location
2120 Kings Hwy
Shreveport, LA 71103-4015
Mailing address
PO Box 38050
Shreveport, LA 71133-8050
Phone (318) 716-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1948888 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060112000197 | LA | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 4082637301 | Practice locations: Shreveport, LA |
National Provider Directory
National Provider DirectoryMember organizations 6
Organizations listed as members of this organization in the National Provider Directory.
-
dba Ochsner LSU Health Monroe
- General Acute Care Hospital
- Monroe, LA
- NPI 1215939210
Member Of
-
dba University Health Conway
- Psychiatric Hospital Unit
- Monroe, LA
- NPI 1255761151
Member Of
-
dba Ochsner LSU Health Monroe
- Psychiatric Hospital Unit
- Monroe, LA
- NPI 1265536361
Member Of
-
dba Ochsner LSU Health Monroe
- Internal Medicine Physician
- Monroe, LA
- NPI 1811324882
Member Of
-
dba University Health Shreveport
- Psychiatric Hospital Unit
- Shreveport, LA
- NPI 1821192162
Member Of
-
dba University Health Shreveport
- General Acute Care Hospital
- Shreveport, LA
- NPI 1912909912
Member Of
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nuclear Radiology Physician
- Shreveport, LA
- NPI 1609896893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1650931200000",
"number": "1437241130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 38050",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711338050",
"telephone_number": "318-716-4000",
"fax_number": "318-716-4075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2120 KINGS HWY",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711034015",
"telephone_number": "318-716-4000",
"fax_number": "318-716-4075"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIOMEDICAL RESEARCH FOUNDATION OF NORTHWEST LOUISIANA",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-29",
"last_updated": "2022-04-26",
"certification_date": "2022-04-26",
"status": "A",
"authorized_official_last_name": "DEAN",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT/COO",
"authorized_official_telephone_number": "318-716-4100",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1948888",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shreveport, LA
- Bio-Medical Applications of Louisiana, LLC (Fmcna Dialysis Services of West Shreveport)
- Bio-Medical Applications of Louisiana, LLC (Shreveport Regional Dialysis Center)
- Bio-Medical Applications of Louisiana, LLC (FMC Dialysis Services South Shreveport)
- Bio-Medical Applications of Louisiana, LLC (North Shreveport Dialysis Center)
- Biomedical Research Foundation of Northwest Louisiana
- Biomedical Research Foundation of Northwest Louisiana (Southern Isotopes of Shreveport)
- Biostat Laboratories, LLC
- Alexandra Birch
- Angela Birdsong Fellows, NP
- Joasetta Birdsong
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.