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DR. BRUCE K MCCORMICK PHD
NPI 1043327968
Psychologist - Prescribing (Medical) in Shreveport, LA

Active since August 24, 2006Opted out of Medicare · through Apr 1, 2027
3341 YOUREE DR STE 20A, SHREVEPORT, LA 71105(318) 865-7500(318) 868-2035 Get Directions Write a Review

NPPES record last updated: September 19, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 31, 2023, Apr 5, 2021 (2 updates tracked since 2021).

About Dr. Bruce K Mccormick Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRUCE K MCCORMICK PHD (NPI 1043327968) is an individual prescribing (medical) provider in Shreveport, Louisiana, licensed in Louisiana (MPAP.000013) and active in the NPI registry since August 2006. He has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1043327968
Entity TypeIndividualMale
Primary Taxonomy103TP0016X
Provider Legal NameDR. BRUCE K MCCORMICKCredential: PHD
Location Address3341 YOUREE DR STE 20AShreveport, LA 71105-2149
Mailing Address3341 Youree Dr Ste 20aShreveport, LA 71105-2149 · (318) 865-7500 · Fax (318) 868-2035
Phone(318) 865-7500
Fax(318) 868-2035
Sole ProprietorYes
Enumeration DateAugust 24, 2006
Last NPPES UpdateSeptember 19, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2023
✔ NPI 1043327968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyPsychologist · Prescribing (Medical)Behavioral Health & Social Service Providers
Taxonomy Code103TP0016X
Licenses✔ Licensed in LA · MPAP.000013✔ Licensed in LA · 631MP
Definition

A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.

Also ListedPsychologistTaxonomy 103T00000X · License 631 (LA)
Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License 631 (LA)
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License 631 (LA)
Also ListedPsychologist · FamilyTaxonomy 103TF0000X · License 631 (LA)
Also ListedPsychologist · SchoolTaxonomy 103TS0200X · License 631 (LA)
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 631 (LA)
3341 YOUREE DR STE 20A, Shreveport, LA 71105
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Other Names 1

Professional Name (2)B K Mccormick Phd

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Bruce K Mccormick Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2017 through April 1, 2027.

Opt-Out Effective DateApril 1, 2017
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER RUSSELL PH.D.
Psychologist (Clinical)
3341 YOUREE DR STE 20A
SHREVEPORT, LA 71105
Caddo Parish (318) 425-2000
M. TODD LOBRANO, PSYCHOLOGIST, L.L.C.
Psychologist (Prescribing (Medical))
3341 YOUREE DR STE 20A
SHREVEPORT, LA 71105
Caddo Parish (318) 425-2000
MRS. SHELLEY R VISCONTE PH.D., LPC, LMFT
Psychologist (Counseling)
3341 YOUREE DR STE 20A
SHREVEPORT, LA 71105
Caddo Parish (318) 425-2000
DR. RONALD A. GOEBEL PH.D.
Clinical Neuropsychologist
3341 YOUREE DR STE 20A
SHREVEPORT, LA 71105
Caddo Parish (318) 425-2000
ZOE PEARL MS, LPC
Counselor (Mental Health)
3341 YOUREE DR STE 20A
SHREVEPORT, LA 71105
Caddo Parish (318) 425-2000
DR. MARK P. VIGEN PH.D.
Psychologist (Forensic)
3341 YOUREE DR STE 20A
SHREVEPORT, LA 71105
Caddo Parish (318) 425-2000
KATIE WINNINGHAM LPC
Counselor (Professional)
3341 YOUREE DR STE 20A
SHREVEPORT, LA 71105
Caddo Parish (318) 425-2000
RONALD A GOEBEL & MARK P VIGEN PTR
Psychologist (Clinical)
3341 YOUREE DR STE 20A
SHREVEPORT, LA 71105
Caddo Parish (318) 425-2000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bruce Mccormick's NPI number?

The NPI number for Bruce Mccormick is 1043327968. It was assigned to this individual provider in the NPPES registry on August 24, 2006. The provider is also known as B K Mccormick Phd.

Where is Bruce Mccormick located?

Bruce Mccormick practices at 3341 Youree Dr Ste 20A, Shreveport, LA 71105. The listed phone number is (318) 865-7500.

What is Bruce Mccormick's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Prescribing (Medical), with taxonomy code 103TP0016X.

Is Bruce Mccormick enrolled in Medicare?

No. Bruce Mccormick has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Bruce Mccormick was last updated on September 19, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.