Plastic SurgeryIndex

Wallace Brown, MD

Plastic surgery clinician in Shreveport, LA

Registered providerLicense # listed (LA)

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Public-record details

Address
2210 Line Ave, Suite 204, Shreveport, LA 71104
Phone
(318) 221-9671
Listed under
Individual clinicians
NPI
1114988995
NPI status
Active in the NPPES registry
Provider type
Individual provider
Registered specialty (self-reported taxonomy)
Plastic Surgery (208200000X)
Credentials listed
MD
License number on NPI record
011630 (LA)
NPI first issued
Mar 31, 2006
NPI record last updated
Jul 13, 2026

NPI 1114988995 is active in the federal NPPES registry (CMS); license 011630 (LA) is listed on the record. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-11-08.

What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an individual clinician. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. Plastic surgery here is the specialty the provider chose when registering for an NPI. It is not board certification and NPPES does not check it. To check board certification, use the American Board of Plastic Surgery's verification tool, and confirm the medical license with the state board.

View NPI 1114988995 in the official registry ↗

Registered specialty is not board certification. Verify the license with the state medical board and board certification with the American Board of Plastic Surgery, and ask whether the facility is accredited and who gives anesthesia.

Other plastic surgery listings in Shreveport

Bridges to INC.4300 Youree Dr, Suite 300 · Shreveport, LA 71105 · (318) 219-8555 · Practices and organizationsRegistered specialty: Plastic Surgery · OrganizationRegistered providerLicense # listed (LA)
Bundrick and O'Neal Plastic Surgery (Amc)2210 Line Ave, Suite 204 · Shreveport, LA 71104 · (318) 221-9671 · Practices and organizationsRegistered specialty: Plastic Surgery · OrganizationRegistered provider
Daniel R. Knight, MD, LLC7607 Fern Ave, #502 · Shreveport, LA 71105 · (318) 798-4595 · Practices and organizationsRegistered specialty: Plastic Surgery · OrganizationRegistered provider
Holly D. Casey, MD, a Professional Medical Corp8600 Fern Avenue · Shreveport, LA 71105 · (318) 795-0801 · Practices and organizationsRegistered specialty: Plastic Surgery · OrganizationRegistered providerLicense # listed (LA)
Plastic Surgery of Shreveport, INC1666 E Bert Kouns Loop, Ste 145 · Shreveport, LA 71105 · (318) 797-9199 · Practices and organizationsRegistered specialty: Plastic Surgery · OrganizationRegistered provider
Simeon H. Wall, MD a Professional Medical Corp8600 Fern Ave · Shreveport, LA 71105 · (318) 795-0801 · Practices and organizationsRegistered specialty: Plastic Surgery · OrganizationRegistered providerLicense # listed (LA)
Stephen Jon Ramey MD a Medical Corporation7013 Sand Beach Blvd · Shreveport, LA 71105 · (318) 681-5050 · Practices and organizationsRegistered specialty: Plastic Surgery · OrganizationRegistered providerLicense # listed (LA)
Barron O'Neal, MD2210 Line Ave, Suite 204 · Shreveport, LA 71104 · (318) 221-9671 · Individual cliniciansRegistered specialty: Plastic SurgeryRegistered providerLicense # listed (LA)

All 11 in Shreveport →

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-08 and may be incomplete or out of date. Plastic Surgery Index does not vet, employ, recommend or guarantee plastic surgery practices; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Plastic Surgery Index is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error