Search › Louisiana › 207V00000X
Bradley Colvin, MD
NPI 1710956255 · on the registry since 2006
Practice
- Address
- 9111 Susan Dr
Shreveport, LA 71118 - Phone
- (318) 212-5343
- Fax
- (318) 212-5360
- Organisation at this address
- Wk Pines Road Family Medicine
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 207V00000X
207V00000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana