OrganizationActive
Back on Track, Inc
NPI 1578743225 · Internal Medicine Physician · Bogalusa, LA
Provider details
- NPI number
- 1578743225
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- David Killen, President(985) 735-1112
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Suppliers
Chiropractic Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
528 Avenue F
Bogalusa, LA 70427-3636
Phone: (985) 735-1112
Fax: (985) 735-1386
Street-level locationGet directions
Mailing address
528 Avenue F
Bogalusa, LA 70427-3636
Registry dates
- Enumerated
- 2007-11-10
- Last updated
- 2012-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.