Richard Bowlin, CRNA

Individual provider Active NPI Certified Registered Nurse Anesthetist · Monroe, LA

NPI 1659445385 · NPPES record last updated Dec 31, 2024

Key facts

NPI
1659445385
Entity type
Individual (NPI type 1)
Primary specialty
Certified Registered Nurse Anesthetist 367500000X
License
AP04650 (LA)
Practice address
4864 Jackson St
Monroe, LA 71201
Phone
(318) 330-7626
Fax
(318) 330-7648
NPI assigned
Nov 17, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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

Medicare Care Compare profile

Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lsu Health Sciences Center Shreveport Faculty Group Practice (567 clinicians)

Practice addresses (Care Compare)

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

Hospital & facility affiliations

  • Ochsner Lsu Health Monroe Hospital · Monroe, LA · CCN 190011

Medicare participation

Medicare fee-for-service enrollment
Enrolled in LA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20050803000031 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5991733636 Reassigns benefits to 4 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Brfhh Monroe LLC Current
since Jan 1, 2015
Accepting new patients
Lsu Health Sciences Center Shreveport Faculty Group Practice Current
since Jul 1, 2021
Accepting new patients
Endoscopy Center of Monroe Current
since Jun 4, 2018
Accepting new patients
Joseph E Humble and Raymond Haik, PTRS Current
since Jan 25, 2026
Accepting new patients
Joseph E Humble and Raymond Haik, PTRS Current
since Jan 25, 2026
Accepting new patients

Locations

316 S 6th St
Monroe, LA 71201
Phone (318) 325-2634

2408 Broadmoor Blvd
Monroe, LA 71201
Phone (318) 410-0002

4864 Jackson St
Monroe, LA 71202
Phone (318) 330-7000

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

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

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

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X AP04650 LA Yes

Addresses

Primary practice location

4864 Jackson St
Monroe, LA 71201

Mailing address

4864 Jackson St
Monroe, LA 71201
Phone (318) 330-7626

Other identifiers

IdentifierTypeStateIssuer
1038911MedicaidLA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 31, 2024.

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1659445385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4864 JACKSON ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "71201",
            "telephone_number": "318-330-7626",
            "fax_number": "318-330-7648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4864 JACKSON ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "71201",
            "telephone_number": "318-330-7626",
            "fax_number": "318-330-7648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWLIN",
        "first_name": "RICHARD",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "AP04650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1038911",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

All providers in Monroe, LA · Certified Registered Nurse Anesthetist in Louisiana

Sources for this page

Verify at the official NPI Registry.