INJURYMD OF BOSSIER, LLC
NPI 1073365094
Clinic/Center in Bossier City, LA

Active since April 03, 2024CLIA 19D2124577 · Waiver
5015 SHED RD STE 500, BOSSIER CITY, LA 71111(318) 741-5858(318) 741-4496 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Injurymd Of Bossier, Llc NPPES

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

INJURYMD OF BOSSIER, LLC (NPI 1073365094), doing business as Injurymd Bossier, is a healthcare organization registered as a clinic/center in Bossier City, Louisiana and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through January 19, 2027 and lists Brady Crenshaw, Chief Administrative Officer, as its authorized official.

NPPES Registry Identity

NPI1073365094
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameINJURYMD OF BOSSIER, LLC
Location Address5015 SHED RD STE 500Bossier City, LA 71111-5587
Mailing AddressPo Box 678111Dallas, TX 75267-8111
Fax(318) 741-4496
Organization SubpartNo
Authorized OfficialBrady CrenshawChief Administrative Officer · (318) 751-9100
Enumeration DateApril 3, 2024
NPPES CertifiedApril 3, 2024
NPI 1073365094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X
Also ListedClinic/Center · Occupational MedicineTaxonomy 261QX0100X
5015 SHED RD STE 500, Bossier City, LA 71111

Other Names 1

Doing Business AsInjurymd Bossier

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 19D2124577

Injury MD Of Bossier, LLC · Bossier City, LA
Active · expires Jan 19, 2027
CLIA Number19D2124577
Laboratory TypePractitioner Other
Certificate Effective DateJanuary 20, 2025
Certificate Expiration DateJanuary 19, 2027
Laboratory DirectorRegina R. Willis
Laboratory Phone(318) 741-5858
Laboratory LocationInjury MD Of Bossier, LLC5015 Shed Road, Suite 500, Bossier City, LA 71111
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Occupational Health)
5015 SHED RD STE 500
BOSSIER CITY, LA 71111

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 Injurymd Of Bossier, LLC's NPI number?

The NPI number for Injurymd Of Bossier, LLC is 1073365094. It was assigned to this organization in the NPPES registry on April 3, 2024. The provider is doing business as InjuryMD Bossier.

Where is Injurymd Of Bossier, LLC located?

Injurymd Of Bossier, LLC is located at 5015 Shed Rd Ste 500, Bossier City, LA 71111. The listed phone number is (318) 741-5858.

What is Injurymd Of Bossier, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Injurymd Of Bossier, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2124577) is associated with this NPI, valid through January 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Injurymd Of Bossier, LLC was last updated on April 3, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.