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

Dr. Edward Wallace Johnson III, MD

Individual provider Family Medicine Physician · NPI 1285073890

Dr. Edward Wallace Johnson III, MD is a Family Practice in Bossier City, Louisiana. Graduated from Louisiana State University School of Medicine in Shreveport in 2012, 14 years ago. Practices with Christus Trinity Clinic, a 1,531-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Louisiana and Mississippi.

Years since qualifying
14
Trained at
Louisiana State University School of Medicine in Shreveport
Licensed in
LA, MS
In the registry since
2013
Specialties on file
2
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

2703 Beene Blvd
Bossier City, LA 71111-5491
Phone: (318) 681-4515
Fax: (318) 681-4514
Show map & directions

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

Additional practice locations (4)

  • 2151 Airline Dr Ste 700, Bossier City, LA 71111-3398 — (318) 550-2176
  • 7045 Youree Dr, Shreveport, LA 71105-5108 — (318) 681-6890
  • 9300 Mansfield Rd Ste 110, Shreveport, LA 71118-3137 — (318) 681-6795
  • 1505 State Highway 19 S, Athens, TX 75751-8950 — (903) 675-1725

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 338347 (LA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 23591 (MS)

Record details

NPI number1285073890
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 17, 2013
Last updated in NPPESOctober 23, 2023
Certification dateOctober 23, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated 2012 (14 years in practice)
Group practice Christus Trinity Clinic — 1531 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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