Individual provider Active NPI

Benny M Popwell, M

  • Obstetrics & Gynecology Physician
  • Shreveport, LA
National Provider Identifier
1891799607
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
014125 Issued in LA
Practice address
1455 E Bert Kouns Industrial Loop Ste 306
Shreveport, LA 71105-5634
Phone
(318) 798-4400
Fax
(318) 798-4531
NPI assigned
Jun 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 014125 LA Primary

Addresses

Primary practice location

1455 E Bert Kouns Industrial Loop Ste 306
Shreveport, LA 71105-5634

Mailing address

1455 E Bert Kouns Loop
Shreveport, LA 71105-5634
Phone (318) 798-4400

Other practice location 1

1455 E Bert Koun Loop Ste 100
Shreveport, LA 71105-5634
Phone (318) 681-4606

Other identifiers 4

IdentifierTypeStateIssuer
P00313369OtherLARAILROAD MEDICARE
050825102OtherTXTEXAS MEDICAID
1053315846OtherLAGROUP NPI NUMBER
1314293MedicaidLA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address benny.popwell.p1@direct.hcapmc.nextgenshare.com Direct

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
I20040402000281 LA Practitioner - Obstetrics/Gynecology 6507858032 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Louisiana State University School of Medicine in Shreveport, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Highland Clinic, a Prof Med CorpGroup PAC ID 3870493463, 60 clinicians

Practice addresses (Care Compare)

1455 E Bert Koun Loop
Shreveport, LA 71105-5634
Phone (318) 798-4539

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.6 of 100Reported as group
Quality
58.23
Promoting interoperability
97
Improvement activities
40
Cost
72.94

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
014125LAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas Obstetrics & Gynecology CurrentSince Feb 17, 2025 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Feb 17, 2025 Accepting new patients
Highland Clinic, a Prof Med Corp CurrentSince Sep 1, 2003 Accepting new patients
Highland Clinic, a Prof Med Corp CurrentSince Sep 1, 2003 Accepting new patients

Locations

1400 E Bert Kouns Industrial Loop
Ste 100
Shreveport, LA 71105
Phone (318) 681-4319

1455 E Bert Kouns Industrial Loop
#L
Shreveport, LA 71105

1455 E Bert Kouns Industrial Loop
Ste 305
Shreveport, LA 71105

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

950 Olive St
Shreveport, LA 71104
Phone (318) 221-1581

1455 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 300-3643

1500 Line Ave
Ste 101
Shreveport, LA 71101
Phone (318) 424-3400

1455 E Bert Kouns Industrial Loop
Ste 306
Shreveport, LA 71105
Phone (318) 798-4400

1455 E Bert Kouns Industrial Loop
#306
Shreveport, LA 71105

Interoperability endpoints

  • Direct secure messaging: benny.popwell.p1@direct.hcapmc.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1891799607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 E BERT KOUNS LOOP",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055634",
            "telephone_number": "318-798-4400",
            "fax_number": "318-798-4621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 E BERT KOUNS INDUSTRIAL LOOP STE 306",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055634",
            "telephone_number": "318-798-4400",
            "fax_number": "318-798-4531"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1455 E Bert Koun Loop Ste 100",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711055634",
            "country_code": "US",
            "telephone_number": "318-681-4606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POPWELL",
        "first_name": "BENNY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "014125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00313369",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAID",
            "identifier": "050825102",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI NUMBER",
            "identifier": "1053315846",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1314293",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "benny.popwell.p1@direct.hcapmc.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1455 E Bert Kouns Loop",
            "city": "Shreveport",
            "state": "LA",
            "country_code": "US",
            "postal_code": "711055634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.