Individual provider Active NPI

Corine H. Bowman, MD

  • Family Medicine Physician
  • Bossier City, LA
National Provider Identifier
1841241007
Registry record updated Apr 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
023946 Issued in LA
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

Updated by the provider on Apr 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1486493MedicaidLA

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
I20040712000220 LA Practitioner - Family Practice 8325026818 Reassigns benefits to 2 organizations

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 Hospital, Shreveport, LA, CCN 190111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
023946LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Total Health Family Medicine Family Medicine CurrentSince Jan 2, 2019 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

  • FHIR API: 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.

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": "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

Verify at the official NPI Registry.