IndividualActive
Phillip Bacilla, MD
NPI 1598732133 · Sports Medicine (Orthopaedic Surgery) Physician · Alexandria, LA
Provider details
- NPI number
- 1598732133
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- License
- MD 020542 (LA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
3351 Masonic Drive
Alexandria, LA 71301-3842
Phone: (318) 473-9556
Fax: (318) 441-8339
Approximate (ZIP-level) locationGet directions
Mailing address
3351 Masonic Drive
Alexandria, LA 71301-3842
Registry dates
- Enumerated
- 2006-03-02
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.