NPIMap

Organization Active NPI

Bossier Family Medicine, LLC

Doing business as Bossier Family Medicine

  • Family Medicine Physician
  • Bossier City, LA
National Provider Identifier
1003032236
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BOSSIER FAMILY MEDICINE, LLC
Doing business as
Bossier Family Medicine
First Care Bossier
First Care Stonewall1 more in Other names
Practice address
2539 Viking Dr Ste 101
Bossier City, LA 71111-2165
Phone
(318) 747-8100
Fax
(318) 747-8151
NPI assigned
Apr 17, 2007
Last updated
Oct 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sandy L Spears
Title
Credentialing Manager
Phone
(318) 925-3339

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

2539 Viking Dr Ste 101
Bossier City, LA 71111-2165

Mailing address

2539 Viking Dr Ste 101
Bossier City, LA 71111-2165
Phone (318) 747-8100

Other practice location 1

5390 Barksdale Blvd Ste 200
Bossier City, LA 71112-4526
Phone (318) 747-8100

Other practice location 2

160 Stone Creek Rd Ste B
Stonewall, LA 71078-4906
Phone (318) 925-3338

Other names 4

  • Bossier Family Medicine Doing business as
  • First Care Bossier Doing business as
  • First Care Stonewall Doing business as
  • Stonewall Family Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051026000358 LA Part B Supplier - Clinic/Group Practice 1850318122 Receives reassigned benefits from 26 practitioners
Practice locations: Bossier City, LA; Stonewall, LA

National Provider Directory

National Provider Directory

Locations

2539 Viking Dr
Ste 101
Bossier City, LA 71111
Phone (318) 747-8100

5390 Barksdale Blvd
Ste 200
Bossier City, LA 71112
Phone (318) 747-8100

160 Stone Creek Rd
Ste B
Stonewall, LA 71078
Phone (318) 925-3338

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IGAJAA

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 28

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761091200000",
    "number": "1003032236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2539 VIKING DR STE 101",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112165",
            "telephone_number": "318-747-8100",
            "fax_number": "318-747-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2539 VIKING DR STE 101",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112165",
            "telephone_number": "318-747-8100",
            "fax_number": "318-747-8151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5390 Barksdale Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Bossier City",
            "state": "LA",
            "postal_code": "711124526",
            "country_code": "US",
            "telephone_number": "318-747-8100",
            "fax_number": "318-747-8150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "160 Stone Creek Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Stonewall",
            "state": "LA",
            "postal_code": "710784906",
            "country_code": "US",
            "telephone_number": "318-925-3338",
            "fax_number": "318-747-8150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BOSSIER FAMILY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A",
        "authorized_official_last_name": "SPEARS",
        "authorized_official_first_name": "SANDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "318-925-3339"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bossier Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bossier Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "First Care Bossier",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "First Care Stonewall",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stonewall Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bossier City, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.