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

Dr. Barney Mathews Nicholson Jr., MD

Individual provider Surgery Physician · NPI 1205827334

Dr. Barney Mathews Nicholson Jr., MD is a Surgery Physician in Shreveport, Louisiana. Licensed in California. Registered with an NPI since 2005.

Licensed in
CA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

510 E Stoner Ave
Shreveport, LA 71101-4243
Phone: (318) 990-4989
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence G 74505 (CA)

Record details

NPI number1205827334
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 28, 2005
Last updated in NPPESDecember 7, 2022
Certification dateDecember 7, 2022

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