Provider Demographics
NPI:1508904392
Name:MORRIS, STEPHEN BRUCE (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:BRUCE
Last Name:MORRIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:STEPHEN
Other - Middle Name:BRUCE
Other - Last Name:MORRIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:162 ACADIA DR
Mailing Address - Street 2:
Mailing Address - City:RACELAND
Mailing Address - State:LA
Mailing Address - Zip Code:70394
Mailing Address - Country:US
Mailing Address - Phone:985-537-3201
Mailing Address - Fax:985-537-3202
Practice Address - Street 1:162 ACADIA DR
Practice Address - Street 2:
Practice Address - City:RACELAND
Practice Address - State:LA
Practice Address - Zip Code:70394
Practice Address - Country:US
Practice Address - Phone:985-537-3201
Practice Address - Fax:985-537-3202
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2010-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA13826207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1354287Medicaid
B61060Medicare UPIN
LA1354287Medicaid
LA1354287Medicare UPIN