Active NPI
Genesis Leon, MD
- Emergency Medicine Physician
- Fort Polk, LA
National Provider Identifier
1790420032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- DR.0072317
- Practice address
- Bayne-Jones Army Community Hospital
1585 Third St
Ft Polk, LA 71459 - Phone
- (726) 780-2411
- NPI assigned
- May 2, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | DR.0072317 | CO | |
| Emergency Medicine Physician | 207P00000X | DR.0072317 | CO | Primary |
Addresses
Primary practice location
Bayne-Jones Army Community Hospital
1585 Third St
Ft Polk, LA 71459
Mailing address
Bayne-Jones Army Community Hospital
1585 Third St
Ft Polk, LA 71459
Phone (726) 780-2411
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0072317 | CO | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752537600000",
"number": "1790420032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BAYNE-JONES ARMY COMMUNITY HOSPITAL",
"address_2": "1585 THIRD ST",
"city": "FT POLK",
"state": "LA",
"postal_code": "71459",
"telephone_number": "726-780-2411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BAYNE-JONES ARMY COMMUNITY HOSPITAL",
"address_2": "1585 THIRD ST",
"city": "FT POLK",
"state": "LA",
"postal_code": "71459",
"telephone_number": "726-780-2411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEON",
"first_name": "GENESIS",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-02",
"last_updated": "2025-07-15",
"certification_date": "2025-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CO",
"license": "DR.0072317",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CO",
"license": "DR.0072317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Polk, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.