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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: August 02, 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 Magnolia Health and more.Insurance ›

Other Providers at the Same Location NPPES 9

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

DR. WALLACE HAROLD BROWN II M.D.
Plastic Surgery
2210 LINE AVE, SUITE 204
SHREVEPORT, LA 71104
Caddo Parish (318) 221-9671
DR. BARRON JOHNS O'NEAL M.D.
Plastic Surgery
2210 LINE AVE, SUITE 204
SHREVEPORT, LA 71104
Caddo Parish (318) 221-9671
CHERYL S MARSIGLIA PHD
Psychologist
2210 LINE AVE, SUITE 104
SHREVEPORT, LA 71104
Caddo Parish (318) 865-7500
TRANSITIONING SOLUTIONS, LLC
Community/Behavioral Health
2210 LINE AVE, 103
SHREVEPORT, LA 71104
Caddo Parish (318) 208-8400
CREWS CHIROPRACTIC, INC.
Chiropractor
2210 LINE AVE, SUITE 202
SHREVEPORT, LA 71104
Caddo Parish (318) 220-7688
PRN HEALTH SERVICES, PC
Specialist
2210 LINE AVE, SUITE 103
SHREVEPORT, LA 71104
Caddo Parish (318) 222-8053
IKEA DARBY
Case Manager/Care Coordinator
2210 LINE AVE
SHREVEPORT, LA 71104
Caddo Parish (318) 675-1112
SEEDS IN ACTION COMMUNITY HEALTH CARE,INC.
Home Health
2210 LINE AVE
SHREVEPORT, LA 71104
Caddo Parish (318) 681-9572

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.

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

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, 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.