OrganizationActive
Wk Shreveport Breast Center
NPI 1972532166 · Surgery Physician · Shreveport, LA
Provider details
- NPI number
- 1972532166
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Greg Gavin, Network Administrator(318) 212-4232
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
8001 Youree Dr
Suite 960
Shreveport, LA 71115-2302
Phone: (318) 212-3706
Fax: (318) 212-3708
Street-level locationGet directions
Mailing address
8001 Youree Dr
Shreveport, LA 71115-2302
Registry dates
- Enumerated
- 2006-07-01
- Last updated
- 2012-06-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.