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BOERSMA CLINIC, LLC
NPI 1104024686
Family Medicine in Ruston, LA

Active since July 06, 2007
765 S BONNER ST, RUSTON, LA 71270(318) 255-2733(318) 254-1066 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Boersma Clinic, Llc NPPES

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

BOERSMA CLINIC, LLC (NPI 1104024686), doing business as Boersma Clinic, is a healthcare organization registered as a family medicine in Ruston, Louisiana and active in the NPI registry since July 2007. The organization lists Rachel Stack Boersma, Owner, as its authorized official.

NPPES Registry Identity

NPI1104024686
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBOERSMA CLINIC, LLC
Location Address765 S BONNER STRuston, LA 71270-5801
Mailing Address765 S Bonner StRuston, LA 71270-5801 · (318) 255-2733 · Fax (318) 254-1066
Phone(318) 255-2733
Fax(318) 254-1066
Organization SubpartNo
Authorized OfficialRachel Stack BoersmaOwner · (318) 255-2733
Enumeration DateJuly 6, 2007
Last NPPES UpdateApril 20, 2008
✔ NPI 1104024686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
765 S BONNER ST, Ruston, LA 71270
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Other Names 1

Former Legal Business NameBoersma Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

AMAZING CARE, LLC
Clinic/Center (Primary Care)
765 S BONNER ST
RUSTON, LA 71270
Lincoln Parish (318) 202-5935
PAMELA R HEARN MD
Family Medicine
765 S BONNER ST
RUSTON, LA 71270
Lincoln Parish (318) 255-2733
WANDA J SULLIVAN RN
Nurse Practitioner
765 S BONNER ST
RUSTON, LA 71270
Lincoln Parish (318) 202-5935

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 Boersma Clinic, LLC's NPI number?

The NPI number for Boersma Clinic, LLC is 1104024686. It was assigned to this organization in the NPPES registry on July 6, 2007. The provider was formerly known as Boersma Clinic.

Where is Boersma Clinic, LLC located?

Boersma Clinic, LLC is located at 765 S Bonner St, Ruston, LA 71270. The listed phone number is (318) 255-2733.

What is Boersma Clinic, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Boersma Clinic, LLC was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.