Individual provider Active NPI

Barry Marvin Osherowitz, MD

  • Gastroenterology Physician
  • Bossier City, LA
National Provider Identifier
1023092673
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
05818R Issued in LA
Practice address
1608 Jimmie Davis Hwy
Bossier City, LA 71112-4559
Phone
(318) 747-2510
Fax
(318) 742-3727
NPI assigned
Dec 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 05818R LA Primary
Gastroenterology Physician 207RG0100X MD10865 DC

Addresses

Primary practice location

1608 Jimmie Davis Hwy
Bossier City, LA 71112-4559

Mailing address

1608 Jimmie Davis Hwy
Bossier City, LA 71112-4559
Phone (318) 747-2510

Other identifiers 1

IdentifierTypeStateIssuer
1323292MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110608000464 LA Order and Referring Only - Internal MedicinePractitioner - GastroenterologyPractitioner - Internal Medicine 2365629979

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD10865DCMDGastroenterology Physician

NPI Registry JSON

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1023092673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 JIMMIE DAVIS HWY",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711124559",
            "telephone_number": "318-747-2510",
            "fax_number": "318-742-3727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 JIMMIE DAVIS HWY",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711124559",
            "telephone_number": "318-747-2510",
            "fax_number": "318-742-3727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSHEROWITZ",
        "first_name": "BARRY",
        "middle_name": "MARVIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "LA",
            "license": "05818R",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "DC",
            "license": "MD10865",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1323292",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

Verify at the official NPI Registry.