Ewell Bickham III

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MD.022207 Issued in LA

Practice address

5266 Commerce St
Saint Francisville, LA 70775-4409

Phone

(225) 635-2436

Fax

(225) 635-2435

NPI assigned

May 16, 2006

Last updated

Mar 29, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA, TN, NM3 enrollments

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 3

Specialty

Emergency Medicine

Education

Louisiana State University School of Medicine in New Orleans, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Madison Parish Hospital Service DistrictGroup PAC ID 6305854878, shared by 5 NPIs, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jena Ess Hospitalist LLC

  • Internal Medicine Physician
  • Jena, LA
  • NPI 1144635020
  Medicare reassignment NPD
• Madison Parish Hospital Service District

  dba Madison Parish Hospital

  • Critical Access Hospital
  • Tallulah, LA
  • NPI 1093834608

  Emergency Medicine

  Medicare reassignment NPD
• Saline Emergency Group, LLC

  • Emergency Medicine Physician
  • Winnfield, LA
  • NPI 1114481769
  Medicare reassignment NPD
• Concord Medical Group PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1083630610

  LA

  Medicare reassignment NPD
• Concord North Texas, PLLC

  • Emergency Medicine Physician
  • Bonham, TX
  • NPI 1952761173

  LA

  Medicare reassignment NPD
• Ess Hospitalist LLC

  • Hospitalist Physician
  • Crossett, AR
  • NPI 1881967305

  NM

  Medicare reassignment NPD
• Hardin Emergency Group LLC

  • Emergency Medicine Physician
  • Savannah, TN
  • NPI 1972850477
  Medicare reassignment NPD
• South Central Physicians PLLC

  • Hospitalist Physician
  • Lubbock, TX
  • NPI 1427611854

  LA

  Medicare reassignment NPD
• Emergency Staffing Solutions Inc

  • Emergency Medicine Physician
  • Many, LA
  • NPI 1477590974

  NM

  Medicare reassignment
• Oakdale Ess LLC

  • Emergency Medicine Physician
  • Oakdale, LA
  • NPI 1750785119
  Medicare reassignment
• Madison Parish Hospital Service District

  dba Leonard P Neumann Rural Health Clinic

  • Rural Health Clinic/Center
  • Tallulah, LA
  • NPI 1215492137
  NPD
• Concord Medical Group of Texas PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1750790762
  NPD

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1073565370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 368",
            "city": "SAINT FRANCISVILLE",
            "state": "LA",
            "postal_code": "707750368",
            "telephone_number": "225-635-3811",
            "fax_number": "225-635-2435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5266 COMMERCE ST",
            "city": "SAINT FRANCISVILLE",
            "state": "LA",
            "postal_code": "707754409",
            "telephone_number": "225-635-2436",
            "fax_number": "225-635-2435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1569 Highway 955",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "LA",
            "postal_code": "707483916",
            "country_code": "US",
            "telephone_number": "225-658-4720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BICKHAM",
        "first_name": "EWELL",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "MD.022207",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "022207",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1490342",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Devyn Baker
• James Ballard, DDS
• Pamela Jean Bassett, R.D.
• Kara Lavontra Battley
• Tiffany Ann Beauchamp, ATC
• Dewana Bobo
• Emmaleigh Brooke Bock, M.D.
• Grace Ellen Burns
• Erin Lofton Cain, M.A., SLP
• Capital Area Human Services District (West Feliciana Behavioral Health CCBHC)

• Emergency Medicine Physician in Saint Francisville, LA
• Providers in Saint Francisville, LA by specialty
• Emergency Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.