IndividualActive
Bradley Colvin, MD
NPI 1710956255 · Obstetrics & Gynecology Physician · Shreveport, LA
Provider details
- NPI number
- 1710956255
- Entity type
- Individual
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 024982 (LA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
9111 Susan Dr
Shreveport, LA 71118-3136
Phone: (318) 212-5343
Fax: (318) 212-5360
Approximate (ZIP-level) locationGet directions
Mailing address
9111 Susan Dr
Shreveport, LA 71118-3136
Registry dates
- Enumerated
- 2006-03-16
- Last updated
- 2022-07-21
- Certified
- 2021-06-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.