Organization Active NPI

Sterling Spine, LLC

  • Diagnostic Radiology Physician
  • Shreveport, LA
National Provider Identifier
1801393590
Registry record updated Apr 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD.300913 Issued in LA
Legal business name
STERLING SPINE, LLC
Practice address
708 N Ashley Ridge Loop Ste 400
Shreveport, LA 71106-7234
Phone
(318) 698-7007
Fax
(318) 698-7006
NPI assigned
Apr 9, 2018
Last updated
Apr 9, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2018

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

Authorized official

Name
Brian Sterling Dupree, MDNPI 1275780447
Title
MD/Owner
Phone
(318) 470-5262

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)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD.300913 LA Primary

Addresses

Primary practice location

708 N Ashley Ridge Loop Ste 400
Shreveport, LA 71106-7234

Mailing address

PO Box 5313
Shreveport, LA 71135-5313
Phone (318) 798-4539

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180615000707 LA Part B Supplier - Clinic/Group Practice 5193070118 Receives reassigned benefits from 1 practitioner
Practice locations: Shreveport, LA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523232000000",
    "number": "1801393590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5313",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711355313",
            "telephone_number": "318-798-4539",
            "fax_number": "318-798-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 N ASHLEY RIDGE LOOP STE 400",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711067234",
            "telephone_number": "318-698-7007",
            "fax_number": "318-698-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STERLING SPINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-09",
        "last_updated": "2018-04-09",
        "status": "A",
        "authorized_official_last_name": "DUPREE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "STERLING",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "318-470-5262",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "MD.300913",
            "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 Apr 9, 2018; 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.

Verify at the official NPI Registry.