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BUNDRICK AND O'NEAL PLASTIC SURGERY (AMC)
NPI 1093776429
Plastic Surgery in Shreveport, LA

Active since March 28, 2006
2210 LINE AVE, SUITE 204, SHREVEPORT, LA 71104(318) 221-9671(318) 425-2343 Get Directions Write a Review

NPPES record last updated: June 27, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Bundrick And O'neal Plastic Surgery (amc) NPPES

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

BUNDRICK AND O'NEAL PLASTIC SURGERY (AMC) (NPI 1093776429) is a healthcare organization registered as a plastic surgery in Shreveport, Louisiana and active in the NPI registry since March 2006. The organization lists Jill Patterson, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1093776429
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameBUNDRICK AND O'NEAL PLASTIC SURGERY (AMC)
Location Address2210 LINE AVE, SUITE 204Shreveport, LA 71104-2152
Mailing Address2210 Line Ave, Suite 204Shreveport, LA 71104-2152 · (318) 221-9671 · Fax (318) 425-2343
Phone(318) 221-9671
Fax(318) 425-2343
Organization SubpartNo
Authorized OfficialJill PattersonOffice Manager · (318) 221-9671
Enumeration DateMarch 28, 2006
Last NPPES UpdateJune 27, 2022
NPPES CertifiedJune 27, 2022
✔ NPI 1093776429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
2210 LINE AVE, Shreveport, LA 71104
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Other Identifiers 1

Medicaid1798908LA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bundrick And O'neal Plastic Surgery (amc) is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Bundrick And O'neal Plastic Surgery (amc), which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Barron O'neal, M.D.
Plastic and Reconstructive Surgery
NPI 1184685950
2210 LINE AVE SUITE 204
Shreveport, LA 71104
(318) 221-9671
✔ PECOS✔ Accepts MedicareSame address
Paige Bundrick, MD
Otolaryngology
NPI 1881911683
1501 KINGS HWY DEPARTMENT OF OTOLARYNGOLOGY
Shreveport, LA 71103
(318) 675-6262
✔ PECOS✔ Accepts Medicare1.0 mi
Mary Kim, M.D.
Plastic and Reconstructive Surgery
NPI 1033192828
1501 KINGS HWY
Shreveport, LA 71103
(318) 675-6154
✔ PECOS✔ Accepts Medicare1.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Bundrick And O'neal Plastic Surgery (amc)'s NPI number?

The NPI number for Bundrick And O'neal Plastic Surgery (amc) is 1093776429. It was assigned to this organization in the NPPES registry on March 28, 2006.

Where is Bundrick And O'neal Plastic Surgery (amc) located?

Bundrick And O'neal Plastic Surgery (amc) is located at 2210 Line Ave Suite 204, Shreveport, LA 71104. The listed phone number is (318) 221-9671.

What is Bundrick And O'neal Plastic Surgery (amc)'s specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Bundrick And O'neal Plastic Surgery (amc) enrolled in Medicare?

Yes. Bundrick And O'neal Plastic Surgery (amc) is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bundrick And O'neal Plastic Surgery (amc)?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Bundrick And O'neal Plastic Surgery (amc), in Otolaryngology and Plastic and Reconstructive Surgery. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Bundrick And O'neal Plastic Surgery (amc) accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana list Bundrick And O'neal Plastic Surgery (amc) as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bundrick And O'neal Plastic Surgery (amc) was last updated on June 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.