Active NPI
Bradford Louis Morgan
- Pharmacist
- Shreveport, LA
National Provider Identifier
1982211397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14520
- Practice address
- 9084 Ferry Creek Dr
Shreveport, LA 71106-8404 - Phone
- (318) 780-1698
- NPI assigned
- Sep 29, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14520 | LA | Primary |
Addresses
Primary practice location
9084 Ferry Creek Dr
Shreveport, LA 71106-8404
Mailing address
9084 Ferry Creek Dr
Shreveport, LA 71106-8404
Phone (318) 780-1698
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14520 | Other | LA | PHARMACIST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14520 | LA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601337600000",
"number": "1982211397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9084 FERRY CREEK DR",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711068404",
"telephone_number": "318-780-1698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9084 FERRY CREEK DR",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711068404",
"telephone_number": "318-780-1698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORGAN",
"first_name": "BRADFORD",
"middle_name": "LOUIS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-09-29",
"last_updated": "2020-09-29",
"certification_date": "2020-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "14520",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST",
"identifier": "14520",
"state": "LA"
}
],
"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 Sep 29, 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.