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OVERTON BROOKS VAMC
NPI 1285925982
Clinic/Center - Adult Mental Health in Shreveport, LA

Active since April 28, 2011
510 E STONER AVE, SHREVEPORT, LA 71101(318) 221-8411 Get Directions Write a Review

NPPES record last updated: April 28, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Overton Brooks Vamc NPPES

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

OVERTON BROOKS VAMC (NPI 1285925982) is a healthcare organization registered as an adult mental health in Shreveport, Louisiana and active in the NPI registry since April 2011. The organization lists Charles Dai-trieu Cao, Kinesiotherapist, as its authorized official.

NPPES Registry Identity

NPI1285925982
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameOVERTON BROOKS VAMC
Location Address510 E STONER AVEShreveport, LA 71101-4243
Mailing Address510 E Stoner AveShreveport, LA 71101-4243 · (318) 221-8411
Phone(318) 221-8411
Organization SubpartNo
Authorized OfficialCharles Dai-trieu CaoKinesiotherapist · (318) 221-8411
Enumeration DateApril 28, 2011
✔ NPI 1285925982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
510 E STONER AVE, Shreveport, LA 71101
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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.

IGNATIUS NNADIOTU
Pharmacist
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 221-8411
DR. DARLENE ROQUE COOK
Pharmacist
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 990-5228
NANCY DUGGAN RN
Registered Nurse
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 221-8411
MICHAEL SCHROEDER
Counselor (Professional)
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 221-8411
KARL REICHTER LICSW
Social Worker (Clinical)
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (319) 990-4401
SANJAY JAIN
Internal Medicine
510 E STONER AVE, PRIMARY CARE (110)
SHREVEPORT, LA 71101
Caddo Parish (318) 221-8411
DR. SRINIVAS POTTURI M.D.,
Radiology (Diagnostic Radiology)
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 221-8411
MRS. KELLY ANN WALLS LPN
Licensed Practical Nurse
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 221-8411

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 Overton Brooks Vamc's NPI number?

The NPI number for Overton Brooks Vamc is 1285925982. It was assigned to this organization in the NPPES registry on April 28, 2011.

Where is Overton Brooks Vamc located?

Overton Brooks Vamc is located at 510 E Stoner Ave, Shreveport, LA 71101. The listed phone number is (318) 221-8411.

What is Overton Brooks Vamc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Overton Brooks Vamc was last updated on April 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.