BUNDRICK AND O'NEAL PLASTIC SURGERY (AMC) – NPI #1093776429
Plastic Surgery

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

BUNDRICK AND O'NEAL PLASTIC SURGERY (AMC) is a plastic surgeon located in SHREVEPORT, LA. NPPES has assigned the NPI number 1093776429 to BUNDRICK AND O'NEAL PLASTIC SURGERY (AMC) on March 28, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208200000X from the Health Care Provider Taxonomy code set, which is classified as Plastic Surgery.

The NPI profile was previously updated about 4 years ago on Jun 27, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BUNDRICK AND O'NEAL PLASTIC SURGERY (AMC) below.

NPI Profile for
BUNDRICK AND O'NEAL PLASTIC SURGERY (AMC)

NPI Number
1093776429
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BUNDRICK AND O'NEAL PLASTIC SURGERY (AMC)
Primary location
2210 LINE AVE
SUITE 204
SHREVEPORT, LA 71104-2152
Phone: (318) 221-9671 Fax: (318) 425-2343
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JILL PATTERSON
OFFICE MANAGER
Phone: (318) 221-9671
Updated
Certification Date
Jun 27, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for BUNDRICK AND O'NEAL PLASTIC SURGERY (AMC)

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDLA1798908
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208200000X
- Plastic Surgery (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.