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

Dr. Fred Spencer Willis Sr., MD

Individual provider Family Medicine Physician · NPI 1245441005

Dr. Fred Spencer Willis Sr., MD is a Family Medicine Physician in Shreveport, Louisiana. Licensed in Louisiana. Registered with an NPI since 2007.

Licensed in
LA
In the registry since
2007
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

1560 Irving Pl
Shreveport, LA 71101-4604
Phone: (318) 212-1194
Fax: (318) 212-1196
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 009828 (LA)

Record details

NPI number1245441005
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 24, 2007
Last updated in NPPESFebruary 2, 2015

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