DR. RYAN BOURG DC
NPI 1629721741
Chiropractor in Shreveport, LA
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
Specialties & Licenses
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Ryan Bourg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Baton Rouge, LA 70816
- Reassigned Medicare billing, Louisiana enrollment
- 118 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.
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.
Which organization bills Medicare for Ryan Bourg's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Bourg reassigns Medicare benefits to Moreau Physical Therapy Inc. (Baton Rouge, LA). The 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 Ryan Bourg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ryan Bourg 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 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.
# Dr. Ryan Bourg, DC · NPI 1629721741
Chiropractor provider in Shreveport, Louisiana. Individual provider, active in the CMS NPPES registry since January 28, 2022.
## Identity
- **NPI:** 1629721741 (Entity type: Individual)
- **Enumerated:** January 28, 2022
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 1885 (Louisiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 1370 E 70TH ST, Shreveport, LA 71105-4924
- **Phone:** (318) 670-3318
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Moreau Physical Therapy Inc. (NPI 1770568669, Baton Rouge, LA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Logan College Of Chiropractic, class of 2019
## Record status
- **NPPES last updated:** December 12, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1629721741) · Data from the CMS NPPES public registry.