OrganizationActive
Bluefin Medical, LLC
NPI 1376253138 · Addiction Medicine (Family Medicine) Physician · Shreveport, LA
Provider details
- NPI number
- 1376253138
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Blue Medical, LLC
- Organization subpart
- Yes
- Authorized official
- Randall Davis, Ceo(318) 773-5880
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
850 Margaret Pl
Shreveport, LA 71101-4521
Phone: (318) 208-2000
Fax: (318) 227-7627
Approximate (ZIP-level) locationGet directions
Mailing address
850 Margaret Pl
Shreveport, LA 71101-4521
Other names (DBA / former)
- Doing business as
- Bluefin Recovery
Registry dates
- Enumerated
- 2022-12-01
- Last updated
- 2022-12-01
- Certified
- 2022-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.