ROBERT BRUCE JORDAN (NPI# 1316988900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316988900 |
| Entity Type | Individual |
| Full Name | ROBERT BRUCE JORDAN |
| Credential | MD |
| Practice Address |
253 Wilderness Dr Boyce LA 71409-8618 |
| Mailing Address |
Po Box 7146 Alexandria LA 71306-0146 |
| Practice Telephone | 3184432418 |
| Practice Fax Number | 3184432410 |
| Mailing Telephone | 8059010204 |
| Mailing Fax Number | 3184432410 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2009-07-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
J1277 | TX | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD.009180 | LA | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
C26156 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00C261560 | 05 | |
| CA | GR0106037 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912461393 | Robert Lance Jordan | Contractor | 8485 Mizner Cir E, Jacksonville, FL 32217-4326 | 2019-01-30 |
| 1689912891 | Robert Christopher Jordan | Veterinarian | 73-4730 Old Mamalahoa Hwy, Kailua Kona, HI 96740-8636 | 2013-01-22 |
| 1700036829 | Robert Paul Jordan | Optometrist | 1009 S Washington St, North Attleboro, MA 02760-3619 | 2008-09-25 |
| 1144357674 | Robert J Jordan | Dentist | 2501 South Lakeline Boulevard, Cedar Park, TX 78613 | 2007-02-28 |
| 1487725727 | Robert Dalson Jordan | Dentist | 109 S Northshore Dr, Suite 404, Knoxville, TN 37919-4939 | 2006-11-10 |
| 1265501126 | Robert B Jordan | Optometrist | 622 E Reelfoot Ave, Union City, TN 38261-5739 | 2006-11-07 |
| 1336235027 | Robert Y. Jordan | Specialist | 66 Cclaremont Ave L.l., Kalispell, MT 59901 | 2006-10-04 |
| 1477561447 | Robert John Jordan | Massage Therapist | 6810 Tilden Ln, Rockville, MD 20852-4501 | 2006-08-04 |
| 1316966419 | Robert Scott Jordan | Social Worker | 2732 Ann Elizabeth Dr, Burlington, NC 27215-6650 | 2006-07-19 |
| 1164476487 | Robert Michael Jordan | Chiropractor | 1233 Commerce Park, Murfreesboro, TN 37130-4995 | 2006-05-20 |
| Street Address |
253 WILDERNESS DR |
| City | BOYCE |
| State | LA |
| Zip Code | 71409-8618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558984070 | Boyce Family Clinic and Urgent Care LLC | Clinic/Center | 513 Ulster St., Boyce, LA 71409 | 2020-05-19 |
| 1992345250 | Mary Tokunboh | Pharmacist | 513 Ulster Ave, Boyce, LA 71409 | 2020-01-14 |
| 1033643523 | Christus Health Central Louisiana | Clinic/Center | 415 St. Clair Road, Suite B, Boyce, LA 71409 | 2017-04-12 |
| 1639619653 | Lil Boos Corner Store LLC | Pharmacy | 415 St. Clair Rd. Ste. C, Boyce, LA 71409 | 2017-02-24 |
| 1811360399 | Tequitra Gray | Counselor | 1028 Belgard Bnd, Boyce, LA 71409 | 2015-11-05 |
| 1427428655 | Richard Thibaut Djapni | Pharmacist | 513 Ulster St, Boyce, LA 71409 | 2015-09-30 |
| 1639488695 | Louis Andrew Juneau Jr. | Pharmacist | 415 St. Clair Rd Suite C, Boyce, LA 71409 | 2010-09-24 |
| 1245543768 | Katie Ann Kimpel | Registered Nurse | 415 Saint Clair Rd Ste B, Boyce, LA 71409 | 2010-07-26 |
| 1922321231 | Medicab, L.L.C. | Non-emergency Medical Transport (VAN) | 303 Sycamore Drive, Boyce, LA 71409 | 2010-03-02 |
| 1235312893 | St Marys Residential Training School | Intermediate Care Facility, Mentally Retarded | 6719 Hwy 1 North, Boyce, LA 71409 | 2007-12-06 |
| Find all providers in zip 71409 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447726518 | Avail Lc Radiology LLC | Radiology | 3730 Nelson Rd, Lake Charles, LA 70605-2412 | 2018-10-16 |
| 1801383245 | St Marys Imaging Center II | Radiology | 4809 Ambassador Caffery Pkwy Ste 350, Lafayette, LA 70508-8801 | 2018-04-20 |
| 1801393590 | Sterling Spine, LLC | Radiology | 708 N Ashley Ridge Loop Ste 400, Shreveport, LA 71106-7234 | 2018-04-09 |
| 1982116497 | Dm Properties of Rapides, LLC | Radiology | 2705 Highway 28 E Ste B, Pineville, LA 71360 | 2017-10-25 |
| 1366977092 | John-paul Grenier | Radiology | 800 Old Metairie Dr, Metairie, LA 70001-6095 | 2017-05-01 |
| 1588023980 | Louisiana Diagnostic and Imaging | Radiology | 5633 Cormier Rd, Vinton, LA 70668-6316 | 2016-02-15 |
| 1285020800 | Noah Mcgill | Radiology | 15790 Paul Vega Md Drive, Radiology, Hammond, LA 70403-7040 | 2015-04-09 |
| 1457790255 | Sulphur Healthcare Partners | Radiology | 3649 S Beglis Pkwy, Sulphur, LA 70665-8107 | 2013-06-14 |
| 1013250703 | Paul Jude Sibille | Radiology | 1240 Highway 761, Church Point, LA 70525-7527 | 2013-04-01 |
| 1982946562 | Rachael Lane Guillory | Radiology | 1811 Dulles Dr, Lafayette, LA 70506-3724 | 2013-03-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.