Bernard George Boka, M.D.
Individual provider Active NPI Family Medicine Physician · Brookhaven, MS
NPI 1487761854 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1487761854
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MS17139 (MS)
- Practice address
- 1014 D a Biglane Dr
Brookhaven, MS 39601-2331 - Phone
- (601) 833-7973
- Fax
- (601) 823-3514
- NPI assigned
- Aug 23, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 30
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Wake Forest University School of Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Helena Parish Hospital
Eunice Emergency Group LLC
Concord Medical Group PLLC
Emergency Group of St Landry LLC
Practice addresses (Care Compare)
16874 Hwy 43
Greensburg, LA 70441-4834
Phone (225) 222-6111
3501 Hwy 190
Eunice, LA 70535-5129
Phone (337) 580-7500
600 S Pine St
Deridder, LA 70634-4942
Phone (337) 462-7100
800 E Main St
Ville Platte, LA 70586-4618
Phone (337) 363-5684
Hospital & facility affiliations
- Mercy Regional Medical Center
- Beauregard Memorial Hospital
- Acadian Medical Center
- St Helena Parish Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071029000106 | LA | Practitioner - Family Practice |
1951204940 | Reassigns benefits to 20 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MS17139 | MS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Carroll Parish Hospital | Current |
Accepting new patients | |
| Opelousas Emergency Group LLC | Current |
Accepting new patients | |
| St. Helena Parish Hospital | Current |
Accepting new patients | |
| C & M Medical Services, Inc. | Current |
Accepting new patients | |
| Acadia-St. Landry Hospital Service District | Family Medicine | Current |
Accepting new patients |
| Madison Parish Hospital Service District | Current |
Accepting new patients | |
| Riverside Emergency Physician Partners LLC | Current |
Accepting new patients | |
| St Helena Parish Hospital | Current |
Accepting new patients | |
| Concord Medical Group of Texas PLLC | Current |
Accepting new patients | |
| Saline Emergency Group, LLC | Current |
Accepting new patients | |
| South Central Physicians PLLC | Current |
Accepting new patients | |
| Correct Care, Inc. | Current |
Accepting new patients | |
| Eunice Emergency Group LLC | Current |
Accepting new patients | |
| Abbeville Emergency Group LLC | Current |
Accepting new patients | |
| St Helena Parish Hospital | Current |
Accepting new patients | |
| East Carroll Parish Hospital | Current |
Accepting new patients | |
| Acadia-St. Landry Hospital Service District | Current |
Accepting new patients | |
| Leatherwood Emergency Group, LLC | Current |
Accepting new patients | |
| Concord Medical Group PLLC | Current |
Accepting new patients | |
| Evangeline Clinical Services, Inc. | Current |
Accepting new patients | |
| Emergency Group of St Landry LLC | Current |
Accepting new patients | |
| Madison Parish Hospital Service District | Current |
Accepting new patients | |
| Amite County Medical Services, Inc. | Past | Accepting new patients | |
| Hospital Service District No. 2 | Past | Accepting new patients | |
| SE Mississippi Emergency Physicians LLC | Past | Accepting new patients | |
| Newton Hospital, Inc | Past | Accepting new patients | |
| United Emergency Services, Inc. | Past | Accepting new patients |
Locations
118 N Hospital Dr
Abbeville, LA 70510
Phone (337) 893-5466
3330 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6917
301 Walnut St
Amite, LA 70422
Phone (985) 748-7141
810 S Broadway St
Church Point, LA 70525
Phone (337) 684-4281
229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225
600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100
301 Memorial Dr
Donaldsonvlle, LA 70346
Phone (225) 473-7931
3501 Highway 190
Eunice, LA 70535
Phone (337) 580-7500
1700 EE Wallace Blvd N
Ferriday, LA 71334
Phone (318) 281-2448
16874 Highway 43
Greensburg, LA 70441
Phone (225) 222-6111
165 Beech Springs Rd
Jonesboro, LA 71251
Phone (318) 259-4435
2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000
336 N Hood St
Lk Providence, LA 71254
Phone (318) 559-4023
801 Poinciana Ave
Mamou, LA 70554
Phone (337) 457-5740
2202 False River Dr
New Roads, LA 70760
Phone (225) 638-5702
130 Hospital Dr
Oakdale, LA 71463
Phone (318) 215-3084
539 E Prudhomme St
Opelousas, LA 70570
Phone (337) 943-7128
1900 Main St
Sheridan, LA 70438
Phone (985) 839-4431
900 Johnson St
Tallulah, LA 71282
Phone (318) 395-2241
800 E Main St
Ville Platte, LA 70586
Phone (337) 363-5684
301 W Boundary Ave
Winnfield, LA 71483
Phone (318) 628-2721
1602 Avenue Q
Lubbock, TX 79401
Phone (469) 809-6712
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MS17139 | MS | Yes |
Addresses
Primary practice location
1014 D a Biglane Dr
Brookhaven, MS 39601-2331
Mailing address
606 3Rd St
McComb, MS 39648-5102
Phone (601) 341-0985
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00295674 | Other | MS | RAILROAD MEDICARE |
| 00124985 | Medicaid | MS |
Other providers in Brookhaven, MS
- Valencia Bingham
- Melanie Hammill Bishop
- Bill E Blalack
- Tiffanie Blaylock
- Rejohna Bledsoe
- Dakota Renne Bolin
- Spencer Lamar Bonds
- Jessica Boutwell
- William Kelly Boutwell
- James Jeffery Boyd
All providers in Brookhaven, MS · Family Medicine Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.