Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PHILLIP RAY BACILLA JR., MD
ActivePHILLIP RAY BACILLA JR., MD is a Adult Reconstructive Orthopaedic Surgery healthcare provider located in ALEXANDRIA, Louisiana. NPI 1598732133 is currently active in the NPPES registry. Verify at CMS.
Adult Reconstructive Orthopaedic Surgery · ALEXANDRIA, LA
Registration Details
- NPI Number
- 1598732133
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 2, 2006 (20.483558555642 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
MD 020542 (LA)MD020542 (LA)
Practice Information
- Address
-
3351 MASONIC DRIVEALEXANDRIA, LA, 713013842Browse LA providers · Browse ZIP 71301
- Phone
- 3184739556
- Fax
- 3184418339
- Primary Specialty
-
Adult Reconstructive Orthopaedic Surgery
207XX0005X
- Additional Specialty
- Adult Reconstructive Orthopaedic Surgery
Other Adult Reconstructive Orthopaedic Surgery Providers in ALEXANDRIA, LA
| Name | Credential | NPI |
|---|---|---|
| MICHAEL J LEDDY III | MD | 1821052028 |
| JAMIE L RISTER | M.D. | 1770801763 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.