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DR. BRANDON GAGE BLACKLEDGE DO
NPI 1376162065
Surgery in Shreveport, LA

Active since April 13, 2020PECOS Enrolled
8001 YOUREE DR STE 960, SHREVEPORT, LA 71115(318) 212-2746(318) 212-2759 Get Directions Write a Review

NPPES record last updated: July 10, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 10, 2026, May 6, 2022, Apr 13, 2020 (3 updates tracked since 2020).

About Dr. Brandon Gage Blackledge Do NPPES

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

DR. BRANDON GAGE BLACKLEDGE DO (NPI 1376162065) is an individual surgery provider in Shreveport, Louisiana, licensed in Louisiana (352569) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Willis Knighton Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1376162065
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. BRANDON GAGE BLACKLEDGECredential: DO
Location Address8001 YOUREE DR STE 960Shreveport, LA 71115-2355
Mailing Address8001 Youree Dr Ste 960Shreveport, LA 71115-2355 · (318) 212-2746 · Fax (318) 212-2759
Phone(318) 212-2746
Fax(318) 212-2759
Sole ProprietorNo
Medical School CMSWilliam Carey University College Of Osteopathic MedicineGraduated 2020
Enumeration DateApril 13, 2020
Last NPPES UpdateJuly 10, 20263 updates tracked since enumeration
NPPES CertifiedJuly 10, 2026
✔ NPI 1376162065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in LA · 352569
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
8001 YOUREE DR STE 960, Shreveport, LA 71115
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Secondary Practice Locations 2

Location 12600 Greenwood RdShreveport, LA 71103-3908 · Phone (601) 953-7160
Location 22500 N State StJackson, MS 39216-4500 · Phone (601) 984-5101

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Brandon Gage Blackledge Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5799198479
PECOS Enrollment IDI20260814002778
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Brandon Blackledge reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wk General Surgery Pierremont
Same address
Surgery
8001 YOUREE DR STE 960
Shreveport, LA 71115
  • Reassigned Medicare billing, Louisiana enrollment
NPI 1184540486 (318) 212-2746

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Willis Knighton Medical Center

Acute Care Hospitals · Shreveport, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190111
Location2600 Greenwood RoadShreveport, LA 71103 · Caddo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71115 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

WK GENERAL SURGERY PIERREMONT
Surgery
8001 YOUREE DR STE 960
SHREVEPORT, LA 71115
Caddo Parish (318) 212-2746
TODD T TRIER MD
Neurological Surgery
8001 YOUREE DR STE 960
SHREVEPORT, LA 71115
Caddo Parish (318) 212-2771

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 Brandon Blackledge's NPI number?

The NPI number for Brandon Blackledge is 1376162065. It was assigned to this individual provider in the NPPES registry on April 13, 2020.

Where is Brandon Blackledge located?

Brandon Blackledge practices at 8001 Youree Dr Ste 960, Shreveport, LA 71115. The listed phone number is (318) 212-2746.

What is Brandon Blackledge's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Brandon Blackledge enrolled in Medicare?

Yes. Brandon Blackledge is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Brandon Blackledge's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brandon Blackledge reassigns Medicare benefits to Wk General Surgery Pierremont (Shreveport, LA). The 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 Brandon Blackledge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brandon Blackledge accept?

Health plans from Blue Cross and Blue Shield of Louisiana, HMO Louisiana and UnitedHealthcare list Brandon Blackledge 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.

Is Brandon Blackledge affiliated with any hospitals?

According to CMS data, Brandon Blackledge is affiliated with Willis Knighton Medical Center.

When was this NPI record last updated?

The NPPES record for Brandon Blackledge was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.