OrganizationActive
Practicemd, Inc.
NPI 1063717841 · Non-Pharmacy Dispensing Site · Shreveport, LA
Provider details
- NPI number
- 1063717841
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Organization subpart
- No
- Authorized official
- Mike Byrd, C.o.o.(318) 841-4312
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
242 Lynbrook Blvd
Shreveport, LA 71106-6548
Phone: (318) 841-4312
Fax: (318) 841-4342
Street-level locationGet directions
Mailing address
Po Box 6657
Shreveport, LA 71136-6657
Registry dates
- Enumerated
- 2011-01-25
- Last updated
- 2011-01-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.