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

Dr. Eddie Glen Johnson III, MD

Individual provider General Practice Physician · NPI 1962738500

Dr. Eddie Glen Johnson III, MD is a General Practice Physician in Shreveport, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.

Licensed in
LA
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

7330 Fern Ave Ste 1103
Shreveport, LA 71105-4989
Phone: (318) 798-0635
Show map & directions

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

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 013312 (LA)

Record details

NPI number1962738500
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 1, 2009
Last updated in NPPESNovember 1, 2009

Other providers in Shreveport