Individual provider Active NPI

Eubulus J Kerr III, M.D.

  • Orthopaedic Surgery Physician
  • Shreveport, LA
National Provider Identifier
1730171299
Registry record updated Nov 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
15487R Issued in LA
Practice address
1500 Line Avenue
Ste 200
Shreveport, LA 71101
Phone
(318) 629-5555
Fax
(318) 629-5556
NPI assigned
Aug 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 15487R LA Primary

Addresses

Primary practice location

1500 Line Avenue
Ste 200
Shreveport, LA 71101

Mailing address

1500 Line Avenue
Ste 204
Shreveport, LA 71101
Phone (318) 629-5001

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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040724000275 LA Practitioner - Orthopedic Surgery 2567442981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Wayne State University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spine Institute of Louisiana LLCGroup PAC ID 3375719446, 13 clinicians

Practice addresses (Care Compare)

1500 Line Ave
Suite 200
Shreveport, LA 71101-4643
Phone (318) 629-5560

Hospital & facility affiliations

  • Specialists Hospital Shreveport Hospital, Shreveport, LA, CCN 190278
  • Willis Knighton Medical Center Hospital, Shreveport, LA, CCN 190111
  • Christus Shreveport-Bossier Health System Hospital, Shreveport, LA, CCN 190041
  • North Caddo Medical Center Hospital, Vivian, LA, CCN 191304

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion148
Laminectomy or laminotomy (partial removal of spine bones)19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15487RLAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spine Institute of Louisiana LLC CurrentSince Jan 1, 2012 Accepting new patients
Surgical Specialty Center, LLC PastSince Jun 1, 2005 Accepting new patients
Spine Center of Excellence LLC PastSince Jan 28, 2021 Accepting new patients

Locations

1500 Line Ave
Shreveport, LA 71101
Phone (318) 213-3754

1500 Line Ave
Ste 200
Shreveport, LA 71101
Phone (318) 629-5555

1500 Line Ave
Ste 204
Shreveport, LA 71101
Phone (318) 629-5001

1500 Line Ave
Ste 100
Shreveport, LA 71101
Phone (318) 635-3052

Interoperability endpoints

  • Direct secure messaging: eubulus.kerriii.p1@direct.sil.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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 7

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

NPI Registry JSON

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764288000000",
    "number": "1730171299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 LINE AVENUE",
            "address_2": "STE 204",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71101",
            "telephone_number": "318-629-5001",
            "fax_number": "318-629-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 LINE AVENUE",
            "address_2": "STE 200",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71101",
            "telephone_number": "318-629-5555",
            "fax_number": "318-629-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERR",
        "first_name": "EUBULUS",
        "middle_name": "J",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2025-11-28",
        "certification_date": "2025-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "LA",
            "license": "15487R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.