Healthcare Provider Details

I. General information

NPI: 1952382111
Provider Name (Legal Business Name): ALAN CONRAD SCHROEDER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2005
Last Update Date: 03/10/2025
Certification Date: 03/10/2025
Deactivation Date: 07/17/2007
Reactivation Date: 03/18/2008

III. Provider practice location address

7301 HENNESSY BLVD SUITE 200
BATON ROUGE LA
70808-4384
US

IV. Provider business mailing address

7301 HENNESSY BLVD SUITE 200
BATON ROUGE LA
70808-4384
US

V. Phone/Fax

Practice location:
  • Phone: 225-766-0050
  • Fax: 225-766-1499
Mailing address:
  • Phone: 225-766-0050
  • Fax: 225-766-1499

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number17511
License Number StateMS
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number200406
License Number StateLA
# 3
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number200406
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: