Fredrick James Bohanon, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

312263 Issued in LA

Practice address

4801 McHugh Rd Ste C
Zachary, LA 70791-5364

Phone

(225) 570-2489

NPI assigned

May 26, 2011

Last updated

Oct 24, 2023By 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 3

Addresses

Other identifiers 4

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

Specialty

General Surgery

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Franklin Parish Hospital Service Dist 1Group PAC ID 7810893302, 80 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Franklin Medical Center Hospital, Winnsboro, LA, CCN 190140

Procedures performed for Medicare patients

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.

• Franklin Parish Hospital Service Dist 1

  dba Franklin Medical Center

  • Rural Acute Care Hospital
  • Winnsboro, LA
  • NPI 1619143120
  Medicare reassignment Care Compare group NPD
• Franklin Parish Hospital Service Dist 1

  dba Gilbert Health Center

  • Rural Health Clinic/Center
  • Gilbert, LA
  • NPI 1669002002
  NPD
• Franklin Parish Hospital

  dba Franklin Medical Center PSY

  • Psychiatric Hospital Unit
  • Winnsboro, LA
  • NPI 1093763526
  NPD (past)
• Franklin Parish Hospital Service Dist 1

  dba St Joseph Rural Health Clinic

  • Rural Health Clinic/Center
  • Saint Joseph, LA
  • NPI 1063466753
  NPD (past)
• Franklin Parish Hospital Service Dist 1

  dba Franklin Medical Center

  • Rural Acute Care Hospital
  • Winnsboro, LA
  • NPI 1356399539
  NPD (past)
• Hospital Service District 1 of East Baton Rouge Parish

  dba Lane Regional Medical Center-Lane Wound Center

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Zachary, LA
  • NPI 1326249459
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Franklin Parish Hospital Service Dist 1

  dba Franklin Medical Center

  • Rural Acute Care Hospital
  • Winnsboro, LA
  • NPI 1356399539
  Care Compare affiliation

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

{
    "created_epoch": "1306368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1447543236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 MCHUGH RD STE C",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707915364",
            "telephone_number": "225-570-2489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 MCHUGH RD STE C",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707915364",
            "telephone_number": "225-570-2489"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2106 Loop Rd",
            "address_purpose": "LOCATION",
            "city": "Winnsboro",
            "state": "LA",
            "postal_code": "712953344",
            "country_code": "US",
            "telephone_number": "318-435-9411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOHANON",
        "first_name": "FREDRICK",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-26",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "BP1-0040982",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "Q1573",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "312263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD, POSTGRADUATE TRAINING PERMIT",
            "identifier": "BP1-0040982",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2505696",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FMC PTAN",
            "identifier": "6B4259",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14457559",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Travis J Blanchard, M.D.
• Samantha Bland-Naquin, MD
• Samantha Blanton
• Shakyra Blanton
• Devyn Bloom, DPT
• Otto Joseph Bonin Jr., NP
• Emily Calhoun Bonvillain
• Hayley T Bordes, PT, DPT
• Fredrick J Boudreaux
• Kaitlyn Winnie Carroll Bouquet, PAC

• Surgery Physician in Zachary, LA
• Providers in Zachary, LA by specialty
• Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.