Individual provider Active NPI

Naina Bouchereau-Lal, MD

  • Sports Medicine (Family Medicine) Physician
  • Shreveport, LA
National Provider Identifier
1457889602
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
329737 Issued in LA
Practice address
6841 Fern Ave Ste 100
Shreveport, LA 71105-4175
Phone
(318) 626-4200
NPI assigned
Jun 1, 2017
Last updated
Apr 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 329737 LA
Sports Medicine (Family Medicine) Physician 207QS0010X 329737 LA Primary

Addresses

Primary practice location

6841 Fern Ave Ste 100
Shreveport, LA 71105-4175

Mailing address

1512 W Kirby PL
Shreveport, LA 71103-3822
Phone (318) 626-0287

Other practice location 1

4481 Viking Dr
Bossier City, LA 71111-7414
Phone (318) 626-2593

Other names 1

  • Naina Lal Former name

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
I20220208001144 LA Practitioner - Family Practice 5395015143 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1541 Kings Hwy
Shreveport, LA 71103-4228
Phone (318) 675-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
329737LAMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lsu Health Sciences Center Shreveport Faculty Group Practice Family Medicine CurrentSince Jan 17, 2022 Accepting new patients
Lsumc-S Family Practice Medical Family Medicine CurrentSince Jan 1, 2022 Accepting new patients
Brfhh Shreveport LLC Past Accepting new patients
Lsumc-S Family Practice Medical Center in Alexandria Family Medicine PastSince Jan 1, 2022 Accepting new patients

Locations

301 4th St
Ste A
Alexandria, LA 71301
Phone (318) 441-1030

501 4th St
Alexandria, LA 71301
Phone (318) 441-1030

4481 Viking Dr
Bossier City, LA 71111
Phone (318) 626-2593

1023 Provenance Pl
Ste 130
Shreveport, LA 71106
Phone (318) 626-0100

1501 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0434

1512 W Kirby Pl
Shreveport, LA 71103
Phone (318) 626-0177

1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287

1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402

6670 Saint Vincent Ave
Shreveport, LA 71106
Phone (318) 626-0500

6841 Fern Ave
Ste 100
Shreveport, LA 71105
Phone (318) 626-4200

9320 Linwood Ave
Shreveport, LA 71106
Phone (318) 227-1211

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1457889602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 W KIRBY PL",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033822",
            "telephone_number": "318-626-0287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6841 FERN AVE STE 100",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711054175",
            "telephone_number": "318-626-4200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4481 Viking Dr",
            "address_purpose": "LOCATION",
            "city": "Bossier City",
            "state": "LA",
            "postal_code": "711117414",
            "country_code": "US",
            "telephone_number": "318-626-2593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOUCHEREAU-LAL",
        "first_name": "NAINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-01",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "329737",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "LA",
            "license": "329737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NAINA",
            "last_name": "LAL",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.