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BLUEFIN MEDICAL, LLC
NPI 1376253138
Family Medicine - Addiction Medicine in Shreveport, LA

Active since December 01, 2022
850 MARGARET PL, SHREVEPORT, LA 71101(318) 208-2000(318) 227-7627 Get Directions Write a Review

NPPES record last updated: December 1, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bluefin Medical, Llc NPPES

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

BLUEFIN MEDICAL, LLC (NPI 1376253138), doing business as Bluefin Recovery, is a healthcare organization registered as an addiction medicine in Shreveport, Louisiana and active in the NPI registry since December 2022. The organization lists Randall Ivan Davis, Ceo, as its authorized official.

NPPES Registry Identity

NPI1376253138
Entity TypeOrganization
Primary Taxonomy207QA0401X
Legal Business NameBLUEFIN MEDICAL, LLC
Location Address850 MARGARET PLShreveport, LA 71101-4521
Mailing Address850 Margaret PlShreveport, LA 71101-4521 · (318) 208-2000
Phone(318) 208-2000
Fax(318) 227-7627
Organization SubpartYesParent: Blue Medical, Llc
Authorized OfficialRandall Ivan DavisCeo · (318) 773-5880
Enumeration DateDecember 1, 2022
NPPES CertifiedDecember 1, 2022
✔ NPI 1376253138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
850 MARGARET PL, Shreveport, LA 71101
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Other Names 1

Doing Business AsBluefin Recovery

Other Identifiers 1

Medicaid1486647LA

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

Other Providers at the Same Location NPPES 6

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

MR. LAWRENCE J DREXLER MD
Internal Medicine (Geriatric Medicine)
850 MARGARET PL
SHREVEPORT, LA 71101
Caddo Parish (318) 222-8187
NOVA VITAL IOP LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
850 MARGARET PL
SHREVEPORT, LA 71101
Caddo Parish (318) 268-6101
THOMAS A REILLY MD APMC
Internal Medicine (Geriatric Medicine)
850 MARGARET PL
SHREVEPORT, LA 71101
Caddo Parish (318) 222-8187
SHREVEPORT GERIATRICS
Family Medicine (Geriatric Medicine)
850 MARGARET PL
SHREVEPORT, LA 71101
Caddo Parish (318) 222-8187
SHREVEPORT GERIATRICS
Internal Medicine (Geriatric Medicine)
850 MARGARET PL
SHREVEPORT, LA 71101
Caddo Parish (318) 222-8187
DR. JUSTIN LEE WOLFE DNP, APRN, FNP-BC
Nurse Practitioner (Family)
850 MARGARET PL
SHREVEPORT, LA 71101
Caddo Parish (318) 383-0163

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 Bluefin Medical, LLC's NPI number?

The NPI number for Bluefin Medical, LLC is 1376253138. It was assigned to this organization in the NPPES registry on December 1, 2022. The provider is doing business as BlueFin Recovery.

Where is Bluefin Medical, LLC located?

Bluefin Medical, LLC is located at 850 Margaret Pl, Shreveport, LA 71101. The listed phone number is (318) 208-2000.

What is Bluefin Medical, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

When was this NPI record last updated?

The NPPES record for Bluefin Medical, LLC was last updated on December 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.