DR. RYAN BOURG DC
NPI 1629721741
Chiropractor in Shreveport, LA

Q: What is Ryan Bourg's NPI number?

The NPI number for Ryan Bourg is 1629721741. It was assigned to this individual provider in the NPPES registry on January 28, 2022.

Q: What is Ryan Bourg's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Ryan Bourg was last updated on December 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since January 28, 2022Accepts Medicare Assignment

1370 E 70TH ST, SHREVEPORT, LA 71105(318) 670-3318 Get Directions Write a Review

NPPES record last updated: December 12, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 12, 2023, Jan 28, 2022 (2 updates tracked since 2022).

On this page

About Dr. Ryan Bourg Dc NPPES

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

DR. RYAN BOURG DC (NPI 1629721741) is an individual chiropractor in Shreveport, Louisiana, licensed in Louisiana (1885) and active in the NPI registry since January 2022. He is a graduate of Logan College Of Chiropractic (2019).

NPPES Registry Identity

NPI1629721741

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. RYAN BOURGCredential: DC

Location Address1370 E 70TH STShreveport, LA 71105-4924

Mailing Address4903 Laurel LnBossier City, LA 71111-5407 · (985) 637-2851

Phone(318) 670-3318

Sole ProprietorNo

Medical School CMSLogan College Of ChiropracticGraduated 2019

Enumeration DateJanuary 28, 2022

Last NPPES UpdateDecember 12, 20232 updates tracked since enumeration

NPPES CertifiedDecember 12, 2023

✔ NPI 1629721741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in LA · 1885

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

1370 E 70TH ST, Shreveport, LA 71105

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ryan Bourg Dc 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 ID8426594359

PECOS Enrollment IDI20240726002081

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 Ryan Bourg's NPI number?

The NPI number for Ryan Bourg is 1629721741. It was assigned to this individual provider in the NPPES registry on January 28, 2022.

Where is Ryan Bourg located?

Ryan Bourg practices at 1370 E 70th St, Shreveport, LA 71105. The listed phone number is (318) 670-3318.

What is Ryan Bourg's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Ryan Bourg enrolled in Medicare?

Yes. Ryan Bourg 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.

What insurance does Ryan Bourg accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 3 other insurers list Ryan Bourg 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 Ryan Bourg was last updated on December 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.