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OVERTON BROOKS VA
NPI 1548404361
Military Hospital in Shreveport, LA

Active since April 23, 2009
510 E STONER AVE, SHREVEPORT, LA 71101(318) 221-8411 Get Directions Write a Review

NPPES record last updated: April 23, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Overton Brooks Va NPPES

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

OVERTON BROOKS VA (NPI 1548404361) is a healthcare organization registered as a military hospital in Shreveport, Louisiana and active in the NPI registry since April 2009. The organization lists Waylon Malmay, Radiation Therapist, as its authorized official.

NPPES Registry Identity

NPI1548404361
Entity TypeOrganization
Primary Taxonomy286500000X
Legal Business NameOVERTON BROOKS VA
Location Address510 E STONER AVEShreveport, LA 71101-4243
Mailing Address4855 Airline Dr Apt 37dBossier City, LA 71111-6652 · (318) 332-1589
Phone(318) 221-8411
Organization SubpartNo
Authorized OfficialWaylon MalmayRadiation Therapist · (318) 332-1589
Enumeration DateApril 23, 2009
✔ NPI 1548404361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary HospitalHospitals
Taxonomy Code286500000X
Definition
A health care facility operated by the Department of Defense.
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 VA's NPI number?

The NPI number for Overton Brooks VA is 1548404361. It was assigned to this organization in the NPPES registry on April 23, 2009.

Where is Overton Brooks VA located?

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

What is Overton Brooks VA's specialty?

The primary specialty registered for this NPI is Military Hospital with taxonomy code 286500000X.

When was this NPI record last updated?

The NPPES record for Overton Brooks VA was last updated on April 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.