Individual provider Active NPI

Charles Houma Dixon Bowers III, MD

  • Psychiatry Physician
  • Lafayette, LA
National Provider Identifier
1407888704
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
025735 Issued in LA
Practice address
1200 Camellia Blvd Ste 205
Lafayette, LA 70508-6164
Phone
(337) 406-9605
Fax
(337) 282-2269
NPI assigned
Jul 7, 2006
Last updated
Jun 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 025735 LA
Psychiatry Physician 2084P0800X 025735 LA Primary

Addresses

Primary practice location

1200 Camellia Blvd Ste 205
Lafayette, LA 70508-6164

Mailing address

1200 Camellia Blvd Ste 205
Lafayette, LA 70508-6164
Phone (337) 406-9605

Other identifiers 1

IdentifierTypeStateIssuer
1046108MedicaidLA

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
I20060731000026 LA Practitioner - PsychiatryPractitioner - Internal Medicine 7012920580 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Internal Medicine
Education
Meharry Medical College School of Medicine, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1200 Camellia Blvd
Suite 205
Lafayette, LA 70508-6164
Phone (337) 406-9605

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
025735LAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Psychiatric Medicine Institute of la LLC Psychiatry CurrentSince Jul 17, 2006 Accepting new patients

Locations

1200 Camellia Blvd
Ste 205
Lafayette, LA 70508
Phone (337) 406-9605

850 Kaliste Saloom Rd
Ste 115
Lafayette, LA 70508
Phone (337) 264-1991

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1407888704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CAMELLIA BLVD STE 205",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086164",
            "telephone_number": "337-406-9605",
            "fax_number": "337-282-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CAMELLIA BLVD STE 205",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086164",
            "telephone_number": "337-406-9605",
            "fax_number": "337-282-2269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWERS",
        "first_name": "CHARLES",
        "middle_name": "HOUMA DIXON",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "025735",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "025735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1046108",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.