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EDDIE D. JOHNSON MD
NPI 1275514978
Family Medicine in Shreveport, LA

Active since November 09, 2005
2508 BERT KOUNS LOOP, SUITE 102, SHREVEPORT, LA 71118(318) 671-1291(318) 688-6014 Get Directions Write a Review

NPPES record last updated: December 28, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eddie D. Johnson Md NPPES

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

EDDIE D. JOHNSON MD (NPI 1275514978) is an individual family medicine provider in Shreveport, Louisiana, licensed in Louisiana (013614) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1275514978
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameEDDIE D. JOHNSONCredential: MD
Location Address2508 BERT KOUNS LOOP, SUITE 102Shreveport, LA 71118-3133
Mailing Address2508 Bert Kouns Loop, Suite 102Shreveport, LA 71118-3133 · (318) 671-1291 · Fax (318) 688-6014
Phone(318) 671-1291
Fax(318) 688-6014
Sole ProprietorNo
Enumeration DateNovember 9, 2005
Last NPPES UpdateDecember 28, 2007
✔ NPI 1275514978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in LA · 013614
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2508 BERT KOUNS LOOP, Shreveport, LA 71118
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Other Identifiers 4

Medicaid1180289LA
Medicare PIN5K061BD08LA
Medicare UPINB60706
Medicare PIN5K061LA

Other Providers at the Same Location NPPES 20

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

EDDIE D JOHNSON MD & WILLIS-KNIGHTON MEDICAL CENTER
Family Medicine
2508 BERT KOUNS LOOP, SUITE 102
SHREVEPORT, LA 71118
Caddo Parish (318) 671-1291
GAYLON DAIGLE M.D.
Obstetrics & Gynecology
2508 BERT KOUNS LOOP, SUITE 207
SHREVEPORT, LA 71118
Caddo Parish (318) 212-5343
WK SHREVEPORT CENTER FOR GERIATRIC HEALTH
Psychiatry & Neurology (Geriatric Psychiatry)
2508 BERT KOUNS LOOP, SUITE 303
SHREVEPORT, LA 71118
Caddo Parish (318) 212-5850
O ALLEN GERMAN MD
Obstetrics & Gynecology
2508 BERT KOUNS LOOP, SUITE 101
SHREVEPORT, LA 71118
Caddo Parish (318) 688-6090
WK WOMENS HEALTH CLINIC
Obstetrics & Gynecology
2508 BERT KOUNS LOOP, SUITE 201
SHREVEPORT, LA 71118
Caddo Parish (318) 688-8804
DR. CHARLES GODFRIED OTU-NYARKO M.D
Pediatrics (Pediatric Gastroenterology)
2508 BERT KOUNS LOOP, SUITE 101
SHREVEPORT, LA 71118
Caddo Parish (318) 212-5858
KRISTY L. BRAUD MD
Family Medicine
2508 BERT KOUNS LOOP, SUITE 103
SHREVEPORT, LA 71118
Caddo Parish (318) 687-5277
WK PEDIATRIC SURGICAL ASSOCIATES
Surgery (Pediatric Surgery)
2508 BERT KOUNS LOOP
SHREVEPORT, LA 71118
Caddo Parish (318) 212-5880

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 Eddie Johnson's NPI number?

The NPI number for Eddie Johnson is 1275514978. It was assigned to this individual provider in the NPPES registry on November 9, 2005.

Where is Eddie Johnson located?

Eddie Johnson practices at 2508 Bert Kouns Loop Suite 102, Shreveport, LA 71118. The listed phone number is (318) 671-1291.

What is Eddie Johnson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Eddie Johnson was last updated on December 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.