Active NPI
Trevor Richard MD Apmc
- Long Term Care Hospital
- Bossier City, LA
National Provider Identifier
1780907360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Hospital
- License
- 202291
- Legal business name
- TREVOR RICHARD MD APMC
- Practice address
- 2525 Viking Dr
Bossier City, LA 71111-2103 - Phone
- (318) 747-5377
- NPI assigned
- Mar 10, 2010
- 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
- Dr. Trevor C Richard, M.D.
- Title
- Provider
- Phone
- (318) 518-6091
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Hospital | 282E00000X | 202291 | LA | Primary |
Addresses
Primary practice location
2525 Viking Dr
Bossier City, LA 71111-2103
Mailing address
4855 Airline Dr
Bossier City, LA 71111-6600
Phone (318) 747-5377
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1079464 | Medicaid | LA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Gonzales, LA
- NPI 1588875017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268179200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1272412800000",
"number": "1780907360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4855 AIRLINE DR",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711116600",
"telephone_number": "318-747-5377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 VIKING DR",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711112103",
"telephone_number": "318-747-5377"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TREVOR RICHARD MD APMC",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-10",
"last_updated": "2010-04-28",
"status": "A",
"authorized_official_last_name": "RICHARD",
"authorized_official_first_name": "TREVOR",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "318-518-6091",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "282E00000X",
"taxonomy_group": "",
"desc": "Long Term Care Hospital",
"state": "LA",
"license": "202291",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1079464",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bossier City, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.