| Dr William Stewart Bundrick Jr, MD | |
|
2449 Hospital Dr, Suite 280, Bossier City, LA 71111-2399 | |
| (318) 841-4004 | |
| (318) 841-4008 |
| Full Name | Dr William Stewart Bundrick Jr |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 36 Years |
| Location | 2449 Hospital Dr, Bossier City, Louisiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326087354 | NPI | - | NPPES |
| 1397571 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 020454 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Willis Knighton Medical Center, Inc | Shreveport, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wk Arklatex Urology And Prostate Cancer Institute | 5890862221 | 6 |
| Entity Name | Wk Arklatex Urology And Prostate Cancer Institute |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881857035 PECOS PAC ID: 5890862221 Enrollment ID: O20080925000695 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr William Stewart Bundrick Jr, MD 2449 Hospital Dr, Suite 280, Bossier City, LA 71111-2394 Ph: (318) 841-4004 | Dr William Stewart Bundrick Jr, MD 2449 Hospital Dr, Suite 280, Bossier City, LA 71111-2399 Ph: (318) 841-4004 |
Elizabeth C Harrel, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2300 Hospital Drive, Suite 400, Bossier City, LA 71111 Phone: 318-212-7850 Fax: 318-212-7858 | |
Gerard Dayle Henry, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2449 Hospital Dr, Ste 280, Bossier City, LA 71111 Phone: 318-212-7850 Fax: 318-841-4008 | |
Ezekiel Arthur Lopez, PA-C Urology Medicare: Accepting Medicare Assignments Practice Location: 2449 Hospital Dr, Bossier City, LA 71111 Phone: 318-841-4004 | |
Christopher M. Wilson, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2449 Hospital Dr, Suite 280, Bossier City, LA 71111 Phone: 318-841-4004 Fax: 318-841-4008 |