DR. WILLIAM S BUNDRICK (NPI# 1336144757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336144757 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM S BUNDRICK |
| Credential | M.D. |
| Practice Address |
2449 Hospital Dr Ste 200 Bossier City LA 71111-2382 |
| Practice Telephone | 3184258701 |
| Practice Fax Number | 3184240376 |
| Mailing Telephone | 3184258701 |
| Mailing Fax Number | 3184240376 |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2007-12-04 |
| NPI Deactivation Date | 03/17/2006 |
| NPI Reactivation Date | 2006-03-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
MD009700 | LA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326087354 | William Stewart Bundrick Jr. | Urology | 2449 Hospital Dr, Suite 280, Bossier City, LA 71111-2399 | 2006-06-05 |
| Street Address |
2449 HOSPITAL DR STE 200 |
| City | BOSSIER CITY |
| State | LA |
| Zip Code | 71111-2382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336575778 | Sarah Carson Brantley | Physician Assistant | 2449 Hospital Dr Ste 200, Bossier City, LA 71111-1905 | 2013-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669007951 | Tamara 'tammy' Larck | Counselor | 1525 Fullilove Drive, Shreveport, LA 71111 | 2020-03-06 |
| 1912538315 | Lagniappe Chiropractic | Chiropractor | 2400 Airline Drive, Bossier City, LA 71111 | 2020-02-04 |
| 1649817420 | Lifecare Medical Transportation, LLC. | Non-emergency Medical Transport (VAN) | 25 Duck Haven Pointe, Bossier City, LA 71111 | 2019-11-29 |
| 1770126344 | Bertresea White Evans | Nurse Practitioner | Coastal Urgernt Care, 5314 Airline Drive, Bossier City, LA 71111 | 2019-10-25 |
| 1861964058 | Erika Davis Reed | Counselor | 1515 Doctors Dr # 16, Bossier City, LA 71111 | 2018-12-28 |
| 1518436898 | Charlotte Mckay | Case Manager/Care Coordinator | 31330 Hwy 22, Ste 101, Bossier City, LA 71111 | 2018-11-16 |
| 1992271464 | Np2u, LLC | Nurse Practitioner | 2008 Airline Drive Suite 300 #194, Bossier City, LA 71111 | 2018-10-22 |
| 1114416542 | Lashaunda Autrey | Counselor | 410 Half Moon Lane, Bossier, LA 71111 | 2018-05-01 |
| 1750887196 | Shenya Williams-pennywell | Counselor | 1007 Gould Drive Bldg 2, Suite 1, Bossier City, LA 71111 | 2018-04-04 |
| 1336647304 | Patrick Vance | Physical Therapist | 5000 Benton Rd Ste 1, Bossier City, LA 71111 | 2018-01-24 |
| Find all providers in zip 71111 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003337478 | Orthopaedic Clinic of Monroe | Orthopaedic Surgery | 309 Mcmillan Rd, West Monroe, LA 71291-5323 | 2017-07-06 |
| 1669926887 | Kindl Works LLC | Orthopaedic Surgery | 1570 Lindberg Dr Ste 6, Slidell, LA 70458 | 2016-08-04 |
| 1033536529 | David Leslie | Orthopaedic Surgery | 1201 S Clearview Pkwy Bldg B, Jefferson, LA 70121-1015 | 2014-03-24 |
| 1215290580 | Paul Phillips Iv | Orthopaedic Surgery | 478 S Johnson St Fl 6, New Orleans, LA 70112-2238 | 2012-06-20 |
| 1295938892 | Michael Jesse Mcnulty Iv | Orthopaedic Surgery | 3800 Houma Boulevard, Suite 200, Metairie, LA 70006 | 2007-06-09 |
| 1205925070 | Ronald D. Sylvest | Orthopaedic Surgery | 7414 Picardy, Ste A, Baton Rouge, LA 70808 | 2006-10-12 |
| 1306823596 | Wk North Orthopedic Clinic | Orthopaedic Surgery | 2751 Albert L Bicknell Dr, Suite 1-b, Shreveport, LA 71103-3920 | 2005-12-28 |
| 1013574961 | Ochsner Clinic Foundation | Orthopaedic Surgery | 1221 S Clearview Pkwy, Jefferson, LA 70121-1011 | 2019-05-28 |
| 1891216263 | Orthopaedic Clinic of Monroe | Orthopaedic Surgery | 707 S Vienna St, Ruston, LA 71270-5845 | 2017-07-06 |
| 1154876670 | Orthobr LLC | Orthopaedic Surgery | 7414 Picardy Ave, Suite A, Baton Rouge, LA 70808-4696 | 2016-08-25 |
| Find all providers with the same taxonomy | ||||
| City | BOSSIER CITY |
| Zip Code | 71111 |
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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.