BRADLEY C. COLVIN MD
NPI 1710956255
Obstetrics & Gynecology in Shreveport, LA

Q: What is Bradley Colvin's NPI number?

The NPI number for Bradley Colvin is 1710956255. It was assigned to this individual provider in the NPPES registry on March 16, 2006.

Q: What is Bradley Colvin's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Bradley Colvin was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 16, 2006PECOS EnrolledAccepts Medicare Assignment

9111 SUSAN DR, SHREVEPORT, LA 71118(318) 212-5343(318) 212-5360 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jun 23, 2021, Jun 27, 2017 (3 updates tracked since 2017).

On this page

About Bradley C. Colvin Md NPPES

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

BRADLEY C. COLVIN MD (NPI 1710956255) is an individual obstetrics & gynecology provider in Shreveport, Louisiana, licensed in Louisiana (024982) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Willis Knighton Medical Center, and is a graduate of Louisiana State University School Of Medicine In Shreveport (2000).

NPPES Registry Identity

NPI1710956255

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameBRADLEY C. COLVINCredential: MD

Location Address9111 SUSAN DRShreveport, LA 71118-3136

Mailing Address9111 Susan DrShreveport, LA 71118-3136 · (318) 212-5343 · Fax (318) 212-5360

Phone(318) 212-5343

Fax(318) 212-5360

Sole ProprietorNo

Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 2000

Enumeration DateMarch 16, 2006

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

NPPES CertifiedJune 23, 2021

✔ NPI 1710956255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in LA · 024982

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

9111 SUSAN DR, Shreveport, LA 71118

Open in Google Maps ↗

Other Identifiers 1

Medicaid1422894LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bradley C. Colvin Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193777696

PECOS Enrollment IDI20050212000038

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.

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 71118 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

$124.60 typical visit price

range $53.43 – $164.73

Typical copayment $31.15 (range $13.35 – $41.18)

Most-billed visit code 99204

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 5

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

SHANAH DENISE WALKER NP

Nurse Practitioner (Women's Health)