Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Willis-Knighton Medical Center, Inc

Organization Internal Medicine Physician · NPI 1679515118

Willis-Knighton Medical Center, Inc is an Internal Medicine Physician in Bossier City, Louisiana. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2400 Hospital Dr Ste 350
Bossier City, LA 71111-2385
Phone: (318) 212-7930
Fax: (318) 212-7935
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1679515118
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWillis-Knighton Medical Center, Inc
Authorized official Greg Gavin — Network Administrator · (318) 212-8780
Other names North Bossier Internal Medicine
NPI enumeratedJune 11, 2006
Last updated in NPPESDecember 20, 2011
Mailing address2400 Hospital Dr, Suite 350, Bossier City, LA 71111-2385

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