NPI

Boris Trent Bartley

NPI 1720574452

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
PLPC
Type
Individual
Enumeration date
2018-07-05
Last updated
2025-10-23

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Specialties

Licenses

License LA
10902

Location

Practice location
2924 Knight St Ste 436
City
Shreveport LA
Postal code
71105-2431
Phone
(318) 606-4413

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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