Individual provider Active NPI

Marjorie Blochousse, MD

  • Internal Medicine Physician
  • Bossier City, LA
National Provider Identifier
1295626893
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
348263 Issued in LA
Practice address
5400 E Texas St
Bossier City, LA 71111-6906
Phone
(318) 675-1313
NPI assigned
Jul 11, 2025
Last updated
Jul 11, 2025By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 348263 LA Primary

Addresses

Primary practice location

5400 E Texas St
Bossier City, LA 71111-6906

Mailing address

225 Pierremont Rd
Shreveport, LA 71105-4146
Phone (318) 497-9243

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
I20250825002208 LA Practitioner - Internal Medicine 7618477597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5400 E Texas St
Bossier City, LA 71111-6906

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
348263LAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy International Healthcare Services, Inc. CurrentSince Jul 10, 2025 Accepting new patients

Locations

5400 E Texas St
Bossier City, LA 71111
Phone (318) 464-7504

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1752192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1295626893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 PIERREMONT RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711054146",
            "telephone_number": "318-497-9243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 E TEXAS ST",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711116906",
            "telephone_number": "318-675-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOCHOUSSE",
        "first_name": "MARJORIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-07-11",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "348263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

Verify at the official NPI Registry.