Bombinamd LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

15815R Issued in LA

Legal business name

BOMBINAMD LLC

Practice address

4140 Hollywood Ave
Suite B-2
Shreveport, LA 71109-7818

Phone

(318) 946-8183

NPI assigned

Jul 25, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Suyah M Loud-Dockett, MD

Title

Owner

Phone

(318) 946-8183

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Suyah Monae' Loud, MD

  • Pediatrics Physician
  • Shreveport, LA
  • NPI 1639203367
  NPD (past)

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

{
    "created_epoch": "1374710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374710400000",
    "number": "1427490937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 HOLLYWOOD AVE",
            "address_2": "SUITE B-2",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711097818",
            "telephone_number": "318-946-8183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 HOLLYWOOD AVE",
            "address_2": "SUITE B-2",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711097818",
            "telephone_number": "318-946-8183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOMBINAMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-25",
        "last_updated": "2013-07-25",
        "status": "A",
        "authorized_official_last_name": "LOUD-DOCKETT",
        "authorized_official_first_name": "SUYAH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-946-8183",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "LA",
            "license": "15815R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Elizabeth Boley, P.A.
• Satyaprabha Reddy Bollam, LMFT
• Haliee Bolling
• Ariana Bolumen-Lopez, MD
• Natalie Wooley Bomar, LOTR
• Willliam Bond, CRNA
• Bone & Joint Clinic
• Bryce Bonin
• Steven Scott Boniol, M.D.
• Bonne Fete Maternity

• Clinic/Center in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.