Brian L Dockendorf (NPI# 1598769432, PAC ID# 3274627211) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1598769432 |
| PAC ID by PECOS | 3274627211 |
| Professional Enrollment ID | I20070920000668 |
| Full Name | Brian L Dockendorf |
| Organization Legal Name | HIGHLAND CLINIC, A PROF MED CORP |
| Address |
1455 E Bert Koun Loop Shreveport LA 71105-5634 |
| Phone Number | 3187984539 |
| Gender | M |
| Medical School | TEXAS A & M UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 3870493463 |
| Number of Group Practice Members | 60 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190041 | CHRISTUS HEALTH SHREVEPORT - BOSSIER |
| 190118 | DESOTO REGIONAL HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 1455 E Bert Koun Loop, Shreveport, LA 71105-5634 | 3187984539 | HIGHLAND CLINIC, A PROF MED CORP |
| Organization Legal Name | HIGHLAND CLINIC, A PROF MED CORP |
| Physicians | 58 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mansi Nalin Shah | Rheumatology | Highland Clinic, A Prof Med Corp | 1455 E Bert Koun Loop, Shreveport, LA 71105-5634 |
| Claude Youngblood Bundrick Jr. | Ophthalmology | Highland Clinic, A Prof Med Corp | 471 Ashley Ridge Blvd, Shreveport, LA 71106-7229 |
| Paul Rushing | Internal Medicine | Highland Clinic, A Prof Med Corp | 1455 E Bert Koun Loop, Shreveport, LA 71105-5634 |
| Jennifer B Angelo | Physician Assistant | Highland Clinic, A Prof Med Corp | 1455 E Bert Koun Loop, Shreveport, LA 71105-5634 |
| Roan Flenniken | Internal Medicine | Highland Clinic, A Prof Med Corp | 1455 E Bert Koun Loop, Shreveport, LA 71105-5634 |
| James R Barnes | General Surgery | Highland Clinic, A Prof Med Corp | 1455 E Bert Koun Loop, Shreveport, LA 71105-5634 |
| Carlton Gregory Houtz | Orthopedic Surgery | Highland Clinic, A Prof Med Corp | 1455 E Bert Koun Loop, Shreveport, LA 71105-5634 |
| Autumn Lynne Laffitte | Nurse Practitioner | Highland Clinic, A Prof Med Corp | 1455 E Bert Koun Loop, Shreveport, LA 71105-5634 |
| Russell D Burlison | Obstetrics/gynecology | Highland Clinic, A Prof Med Corp | 1455 E Bert Koun Loop, Shreveport, LA 71105-5634 |
| Powell B Auer | Orthopedic Surgery | Highland Clinic, A Prof Med Corp | 1453 E Bert Kouns Industrial Loop, Suite 210, Shreveport, LA 71105-6810 |
| Street Address |
1455 E BERT KOUN LOOP |
| City | SHREVEPORT |
| State | LA |
| Zip | 71105-5634 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mansi Nalin Shah | Rheumatology | Highland Clinic, A Prof Med Corp | 1455 E Bert Koun Loop, Shreveport, LA 71105-5634 |
| Paul Rushing | Internal Medicine | Highland Clinic, A Prof Med Corp | 1455 E Bert Koun Loop, Shreveport, LA 71105-5634 |
| Jennifer B Angelo | Physician Assistant | Highland Clinic, A Prof Med Corp | 1455 E Bert Koun Loop, Shreveport, LA 71105-5634 |
| Roan Flenniken | Internal Medicine | Highland Clinic, A Prof Med Corp | 1455 E Bert Koun Loop, Shreveport, LA 71105-5634 |
| James R Barnes | General Surgery | Highland Clinic, A Prof Med Corp | 1455 E Bert Koun Loop, Shreveport, LA 71105-5634 |
| Carlton Gregory Houtz | Orthopedic Surgery | Highland Clinic, A Prof Med Corp | 1455 E Bert Koun Loop, Shreveport, LA 71105-5634 |
| Autumn Lynne Laffitte | Nurse Practitioner | Highland Clinic, A Prof Med Corp | 1455 E Bert Koun Loop, Shreveport, LA 71105-5634 |
| Russell D Burlison | Obstetrics/gynecology | Highland Clinic, A Prof Med Corp | 1455 E Bert Koun Loop, Shreveport, LA 71105-5634 |
| Clifford H Rice Jr. | Otolaryngology | Highland Clinic, A Prof Med Corp | 1455 E Bert Koun Loop, Shreveport, LA 71105-5634 |
| Mary Slaughter Mcferren | Physician Assistant | Highland Clinic, A Prof Med Corp | 1455 E Bert Koun Loop, Shreveport, LA 71105-5634 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mairus T Mcfarland | General Practice | 3331 Youree Dr, Shreveport, LA 71105-2115 | |
| Suresh Kumar | Neurology | 3555 Youree Dr, Shreveport, LA 71105-2119 | |
| James S Harrold Jr. | Psychiatry | 2924 Knight St, Suite 434, Shreveport, LA 71105-2413 | |
| Kimberly D. Law | Psychiatry | 2924 Knight St, Suite 414, Shreveport, LA 71105-2415 | |
| Orlise M Aubrey | Clinical Social Worker | 2924 Knight St, Suite 414, Shreveport, LA 71105-2415 | |
| Tom Staats | Clinical Psychologist | Comprehensive Assessments, Inc | 3010 Knight St, Shreveport, LA 71105-2541 |
| Suzannah K York-crump | Physical Therapy | Studio P3 LLC | 266 Ockley Dr, Shreveport, LA 71105-3025 |
| Elizabeth M Hansen | Physical Therapy | Studio P3 LLC | 266 Ockley Dr, Shreveport, LA 71105-3025 |
| Carson S Holtzclaw | Physician Assistant | Urgent Care of Louisiana LLC | 6841 Fern Ave, Suite 100, Shreveport, LA 71105-4175 |
| Ayesha Tabassom | Emergency Medicine | Urgent Care of Louisiana LLC | 6841 Fern Ave, Suite 100, Shreveport, LA 71105-4175 |
| Find all physicians in zip 71105 | |||
| City | SHREVEPORT |
| Zip Code | 71105 |
| Specialty | GENERAL SURGERY |
| City + Specialty | SHREVEPORT + GENERAL SURGERY |
Please comment or provide details below to improve the information on Brian L Dockendorf.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.