Individual provider Active NPI

John N Bienvenu, MD

  • Gastroenterology Physician
  • Bossier City, LA
National Provider Identifier
1821265281
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
204229 Issued in LA
Practice address
2400 Hospital Dr Ste 370
Bossier City, LA 71111-2391
Phone
(318) 631-9121
Fax
(318) 549-0240
NPI assigned
May 14, 2008
Last updated
Aug 12, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 204229 LA Primary

Addresses

Primary practice location

2400 Hospital Dr Ste 370
Bossier City, LA 71111-2391

Mailing address

3217 Mabel St
Shreveport, LA 71103-4022
Phone (318) 631-9121

Other identifiers 2

IdentifierTypeStateIssuer
1065056MedicaidLA
MD.204229OtherLASTATE LICENSE

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
I20110628000803 LA Practitioner - GastroenterologyPractitioner - Internal Medicine 0840478541 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Louisiana State University School of Medicine in Shreveport, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gi Specialists Hospitalists at WKMCGroup PAC ID 6002060001, 12 clinicians
Gastrointestinal Specialists AMCGroup PAC ID 0547245086, 32 clinicians

Practice addresses (Care Compare)

1202 Louisiana Ave
Shreveport, LA 71101-3910
Phone (318) 212-8946

2400 Hospital Dr
Suite 370
Bossier City, LA 71111-2391
Phone (318) 631-9121

8730 Youree Dr
Suite a B
Shreveport, LA 71115-2500
Phone (318) 408-1505

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy138
Upper gastrointestinal (GI) endoscopy for acid reflux299

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
204229LAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lsu Health Sciences Center Shreveport Faculty Group Practice CurrentSince Dec 1, 2016 Accepting new patients
Gi Specialists Hospitalists at WKMC Gastroenterology CurrentSince Jun 1, 2018 Accepting new patients
Capitol City Family Health Center Incorporated CurrentSince Apr 29, 2022 Accepting new patients
Winn Community Health Center, Inc. Current Accepting new patients
Winn Community Health Center, Inc. CurrentSince Sep 25, 2024 Accepting new patients
Capitol City Family Health Center, Incorporated CurrentSince Apr 29, 2022 Accepting new patients
Winn Community Health Center, Inc. CurrentSince Sep 25, 2024 Accepting new patients
Christus Health Northern Louisiana Current Accepting new patients
Gastrointestinal Specialists, a.M.C. Gastroenterology CurrentSince Jun 1, 2018 Accepting new patients
Minden Physician Practices LLC Past Accepting new patients
Shreveport Endoscopy Center, a Medical Corporation Past Accepting new patients

Locations

3140 Florida St
Baton Rouge, LA 70806
Phone (225) 650-2000

2400 Hospital Dr
Ste 130
Bossier City, LA 71111
Phone (318) 212-7990

2400 Hospital Dr
Ste 370
Bossier City, LA 71111
Phone (318) 746-4460

340 Webb Smith Dr
Colfax, LA 71417
Phone (318) 627-3700

216 W Union St
Ste B
Minden, LA 71055
Phone (318) 371-5600

1202 Louisiana Ave
Shreveport, LA 71101
Phone (318) 212-8946

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138

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

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

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

1800 E 70th St
Shreveport, LA 71105
Phone (318) 798-9400

2551 Greenwood Rd
Ste 410
Shreveport, LA 71103
Phone (318) 621-2929

2600 Greenwood Rd
Shreveport, LA 71103
Phone (318) 212-4600

3217 Mabel St
Shreveport, LA 71103

8001 Youree Dr
Ste 4007
Shreveport, LA 71115
Phone (318) 212-3821

8001 Youree Dr
Ste 540
Shreveport, LA 71115
Phone (318) 212-3787

8383 Millicent Way
Ste B
Shreveport, LA 71115
Phone (318) 681-4282

8730 Youree Dr
Ste A
Shreveport, LA 71115
Phone (318) 221-2707

8730 Youree Dr
Ste Ab
Shreveport, LA 71115
Phone (318) 408-1505

1720 S Beckham Ave
Tyler, TX 75701
Phone (903) 595-5101

1720 S Beckham Ave
Ste 103
Tyler, TX 75701
Phone (903) 606-3900

Interoperability endpoints

  • Direct secure messaging: jbienvenu416309@christushealth.direct-ci.net
  • Direct secure messaging: john.bienvenu@gis.eclinicaldirectplus.com

Organizations & group practices 11

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 4

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": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1821265281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3217 MABEL ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034022",
            "telephone_number": "318-631-9121",
            "fax_number": "318-631-9126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 HOSPITAL DR STE 370",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112391",
            "telephone_number": "318-631-9121",
            "fax_number": "318-549-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIENVENU",
        "first_name": "JOHN",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-14",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "LA",
            "license": "204229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1065056",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "MD.204229",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

Verify at the official NPI Registry.