Active NPI
Corine H. Bowman, MD
- Family Medicine Physician
- Bossier City, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 023946
- Practice address
- 1007 Gould Dr Building 3
Suite 4
Bossier City, LA 71111-4971 - Phone
- (318) 584-7319
- Fax
- (318) 584-7322
- NPI assigned
- May 13, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 023946 | LA | Primary |
Addresses
Primary practice location
1007 Gould Dr Building 3
Suite 4
Bossier City, LA 71111-4971
Mailing address
PO Box 52364
Shreveport, LA 71135-2364
Phone (318) 798-4539
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1486493 | Medicaid | LA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Louisiana State University School of Medicine in Shreveport, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1007 Gould Dr
Suite 4
Bossier City, LA 71111-4971
Phone (318) 584-7319
Hospital & facility affiliations
- Willis Knighton Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023946 | LA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Health Family Medicine | Family Medicine | Current | Accepting new patients |
| Premier Care and Learning Center, Inc | Past | Accepting new patients |
Locations
2533 Bert Kouns Industrial Loop
Ste 106
Shreveport, LA 71118
Phone (318) 212-5976
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Bossier City, LA
- NPI 1710425574
-
- Family Medicine Physician
- Shreveport, LA
- NPI 1962970582
-
- Clinic/Center
- Shreveport, LA
- NPI 1679594782
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bossier City, LA
- NPI 1003968579
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1124170691
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1275685539
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1568461572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491523200000",
"number": "1841241007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 52364",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711352364",
"telephone_number": "318-798-4539",
"fax_number": "318-798-4601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1007 GOULD DR BUILDING 3",
"address_2": "SUITE 4",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711114971",
"telephone_number": "318-584-7319",
"fax_number": "318-584-7322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOWMAN",
"first_name": "CORINE",
"middle_name": "H.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-13",
"last_updated": "2017-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "LA",
"license": "023946",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1486493",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bossier City, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.