OrganizationActive
Louisiana College
NPI 1326466954 · Sports Medicine (Orthopaedic Surgery) Physician · Pineville, LA
Provider details
- NPI number
- 1326466954
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Berry, Billing Service Manager(314) 598-1663
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Athletic Trainer2255A2300X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1140 College Dr
Box 563
Pineville, LA 71359-1000
Phone: (318) 487-7792
Fax: (318) 487-7174
Approximate (ZIP-level) locationGet directions
Mailing address
1140 College Dr
Pineville, LA 71359-3995
Other names (DBA / former)
- Doing business as
- Louisiana College Sports Medicine
- Doing business as
- Louisiana College Sports Medicine
Registry dates
- Enumerated
- 2014-04-01
- Last updated
- 2021-02-26
- Certified
- 2021-02-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.