BRYAN L BOLWAHNN PHD, M.P.
NPI 1043247331
Psychologist - Prescribing (Medical) in Ball, LA

Active since June 26, 2006PECOS EnrolledAccepts Medicare Assignment
100 GAYVEN DR, BALL, LA 71405(318) 641-0444(318) 641-6118 Get Directions Write a Review

NPPES record last updated: October 9, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Bryan L Bolwahnn Phd, M.p. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRYAN L BOLWAHNN PHD, M.P. (NPI 1043247331) is an individual prescribing (medical) provider in Ball, Louisiana, licensed in Louisiana (926MPAP) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1043247331
Entity TypeIndividualMale
Primary Taxonomy103TP0016X
Provider Legal NameBRYAN L BOLWAHNNCredential: PHD, M.P.
Location Address100 GAYVEN DRBall, LA 71405-4903
Mailing Address100 Gayven DrBall, LA 71405-4903 · (318) 641-0444 · Fax (318) 641-6118
Fax(318) 641-6118
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJune 26, 2006
Last NPPES UpdateOctober 9, 2013
✔ NPI 1043247331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Prescribing (Medical)Behavioral Health & Social Service Providers
Taxonomy Code103TP0016X
License✔ Licensed in LA · 926MPAP
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
100 GAYVEN DR, Ball, LA 71405

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bryan L Bolwahnn Phd, M.p. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406822527
PECOS Enrollment IDI20040909000280
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Bryan Bolwahnn reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
1217 WILLOW GLEN RIVER RD
Alexandria, LA 71302
  • Reassigned Medicare billing, Louisiana enrollment
  • 11 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
5411 COLISEUM BLVD
Alexandria, LA 71303
  • Reassigned Medicare billing, Louisiana enrollment
  • 31 clinicians in this Medicare group
Specialist
71211 HIGHWAY 21, SUITE A
Covington, LA 70433
  • Reassigned Medicare billing, Louisiana enrollment
  • 139 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
93 services33 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
100 GAYVEN DR
BALL, LA 71405

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bryan Bolwahnn's NPI number?

The NPI number for Bryan Bolwahnn is 1043247331. It was assigned to this individual provider in the NPPES registry on June 26, 2006.

Where is Bryan Bolwahnn located?

Bryan Bolwahnn practices at 100 Gayven Dr, Ball, LA 71405. The listed phone number is (318) 641-0444.

What is Bryan Bolwahnn's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Prescribing (Medical), with taxonomy code 103TP0016X.

Is Bryan Bolwahnn enrolled in Medicare?

Yes. Bryan Bolwahnn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Bryan Bolwahnn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bryan Bolwahnn reassigns Medicare benefits to 3 organizations: Rapides Primary Health Care Center, Incorporated (Alexandria, LA), Central La Human Services District (Alexandria, LA) and Administrators Of The Tulane Educational Fund (Covington, LA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bryan Bolwahnn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bryan Bolwahnn accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Bryan Bolwahnn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bryan Bolwahnn was last updated on October 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.