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BOGALUSA FAMILY PRACTICE
NPI 1104084839
General Practice in Bogalusa, LA

Active since May 29, 2008
433 PLAZA ST, BOGALUSA, LA 70427(985) 735-1198 Get Directions Write a Review

NPPES record last updated: May 29, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bogalusa Family Practice NPPES

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

BOGALUSA FAMILY PRACTICE (NPI 1104084839) is a healthcare organization registered as a general practice in Bogalusa, Louisiana and active in the NPI registry since May 2008. The organization lists Melvin Lester, Billing Clerk, as its authorized official.

NPPES Registry Identity

NPI1104084839
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameBOGALUSA FAMILY PRACTICE
Location Address433 PLAZA STBogalusa, LA 70427-3729
Mailing AddressPo Box 700Bogalusa, LA 70429-0700
Phone(985) 735-1198
Organization SubpartNo
Authorized OfficialMelvin LesterBilling Clerk · (985) 732-1899
Enumeration DateMay 29, 2008
✔ NPI 1104084839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in LA · MD107924
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
433 PLAZA ST, Bogalusa, LA 70427
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Other Identifiers 2

Medicare UPIN52253LA
Medicaid1365858LA

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 20

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

KALEB M. KILLENS CRNA
Nurse Anesthetist, Certified Registered
433 PLAZA ST
BOGALUSA, LA 70427
Washington Parish (985) 730-6700
MR. WILLIAM L KUHN JR. CRNA
Nurse Anesthetist, Certified Registered
433 PLAZA ST
BOGALUSA, LA 70427
Washington Parish (985) 730-6792
MRS. KATHRYN MICHELE LYONS MN, RN
Registered Nurse (Diabetes Educator)
433 PLAZA ST
BOGALUSA, LA 70427
Washington Parish (985) 730-6773
AMR HOSAM FAWZY MD
Student in an Organized Health Care Education/Training Program
433 PLAZA ST
BOGALUSA, LA 70427
Washington Parish (985) 730-6970
DR. GREGORY PAUL LANATA DPM
Podiatrist (Foot & Ankle Surgery)
433 PLAZA ST
BOGALUSA, LA 70427
Washington Parish (985) 730-7181
OUR LADY OF THE ANGELS HOSPITAL, INC.
General Acute Care Hospital
433 PLAZA ST
BOGALUSA, LA 70427
Washington Parish (985) 730-6700
HENRY Y AU CRNA
Nurse Anesthetist, Certified Registered
433 PLAZA ST, BOGALUSA MEDICAL CENTER
BOGALUSA, LA 70427
Washington Parish (504) 813-1539
DR. IRA BUTLER FULLER III III MD
Ophthalmology
433 PLAZA ST
BOGALUSA, LA 70427
Washington Parish (985) 730-6705

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 Bogalusa Family Practice's NPI number?

The NPI number for Bogalusa Family Practice is 1104084839. It was assigned to this organization in the NPPES registry on May 29, 2008.

Where is Bogalusa Family Practice located?

Bogalusa Family Practice is located at 433 Plaza St, Bogalusa, LA 70427. The listed phone number is (985) 735-1198.

What is Bogalusa Family Practice's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Bogalusa Family Practice was last updated on May 29, 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.