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BRUCE PISTORIUS MD AND WILLIS-KNIGHTON MEDICAL CENTER
NPI 1508894106
Pediatrics in Shreveport, LA

Active since June 30, 2006
7847 YOUREE DR, SHREVEPORT, LA 71105(318) 212-3930(318) 212-3935 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Bruce Pistorius Md And Willis-knighton Medical Center NPPES

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

BRUCE PISTORIUS MD AND WILLIS-KNIGHTON MEDICAL CENTER (NPI 1508894106) is a healthcare organization registered as a pediatrics in Shreveport, Louisiana and active in the NPI registry since June 2006. The organization lists Greg J. Gavin, Network Administrator, as its authorized official.

NPPES Registry Identity

NPI1508894106
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameBRUCE PISTORIUS MD AND WILLIS-KNIGHTON MEDICAL CENTER
Location Address7847 YOUREE DRShreveport, LA 71105-5505
Mailing Address7847 Youree DrShreveport, LA 71105-5505 · (318) 212-3930 · Fax (318) 212-3935
Phone(318) 212-3930
Fax(318) 212-3935
Organization SubpartNo
Authorized OfficialGreg J. GavinNetwork Administrator · (318) 212-3936
Enumeration DateJune 30, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1508894106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

7847 YOUREE DR, Shreveport, LA 71105
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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 15

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

MONICA LAROSE HAYNES MD AND WILLIS-KNIGHTON MEDICAL CENTER
Pediatrics
7847 YOUREE DR
SHREVEPORT, LA 71105
Caddo Parish (318) 212-3930
WK PORTICO PEDIATRICS
Pediatrics
7847 YOUREE DR
SHREVEPORT, LA 71105
Caddo Parish (318) 212-3930
JULIA L VAUGHAN PA
Physician Assistant
7847 YOUREE DR
SHREVEPORT, LA 71105
Caddo Parish (318) 212-3930
WK PIERREMONT ENT
Otolaryngology
7847 YOUREE DR
SHREVEPORT, LA 71105
Caddo Parish (318) 212-3960
DR. MALLORY LEIGH STOVALL AU.D.
Audiologist
7847 YOUREE DR
SHREVEPORT, LA 71105
Caddo Parish (318) 212-3960
WILLIAM D PARKER MD AND WILLIS-KNIGHTON MEDICAL CENTER
Pediatrics
7847 YOUREE DR
SHREVEPORT, LA 71105
Caddo Parish (318) 212-3930
CLIFTON VAUGHAN MD AND WILLIS-KNIGHTON MEDICAL CENTER
Pediatrics
7847 YOUREE DR
SHREVEPORT, LA 71105
Caddo Parish (318) 212-3930
MICHAEL J. BEAL MD
Otolaryngology
7847 YOUREE DR
SHREVEPORT, LA 71105
Caddo Parish (318) 212-3960

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 Bruce Pistorius MD And Willis-Knighton Medical Center's NPI number?

The NPI number for Bruce Pistorius MD And Willis-Knighton Medical Center is 1508894106. It was assigned to this organization in the NPPES registry on June 30, 2006.

Where is Bruce Pistorius MD And Willis-Knighton Medical Center located?

Bruce Pistorius MD And Willis-Knighton Medical Center is located at 7847 Youree Dr, Shreveport, LA 71105. The listed phone number is (318) 212-3930.

What is Bruce Pistorius MD And Willis-Knighton Medical Center's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Bruce Pistorius MD And Willis-Knighton Medical Center was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.