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

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: October 25, 2026.

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

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
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

Other Identifiers 1

Medicaid1422894LA

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Bradley Colvin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obstetrics & Gynecology
2508 BERT KOUNS LOOP, SUITE 201
Shreveport, LA 71118
  • Reassigned Medicare billing, Louisiana enrollment
  • 8 clinicians in this Medicare group
Obstetrics & Gynecology
777 LOWNDES HILL RD BLDG 1
Greenville, SC 29607
  • Reassigned Medicare billing, Louisiana enrollment
  • 108 clinicians in this Medicare group

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 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.

Nurse Practitioner (Women's Health)
9111 SUSAN DR
SHREVEPORT, LA 71118
Family Medicine
9111 SUSAN DR
SHREVEPORT, LA 71118
Obstetrics & Gynecology
9111 SUSAN DR
SHREVEPORT, LA 71118
Family Medicine
9111 SUSAN DR
SHREVEPORT, LA 71118
Nurse Practitioner (Family)
9111 SUSAN DR
SHREVEPORT, LA 71118

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 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.

Where is Bradley Colvin located?

Bradley Colvin practices at 9111 Susan Dr, Shreveport, LA 71118. The listed phone number is (318) 212-5343.

What is Bradley Colvin's specialty?

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

Is Bradley Colvin enrolled in Medicare?

Yes. Bradley Colvin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Bradley Colvin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bradley Colvin reassigns Medicare benefits to 2 organizations: Wk Womens Health Clinic (Shreveport, LA) and Obhg Louisiana, LLC (Greenville, SC). Each 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 Bradley Colvin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bradley Colvin accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Bradley Colvin 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 Bradley Colvin affiliated with any hospitals?

According to CMS data, Bradley Colvin is affiliated with Willis Knighton Medical Center.

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.