Active NPI
Shannon Trichel Bogan, MD
- Pediatric Emergency Medicine (Pediatrics) Physician
- Baton Rouge, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Emergency Medicine (Pediatrics) Physician
- License
- 335370
- Practice address
- 8300 Constantin Blvd
Baton Rouge, LA 70809-3489 - Phone
- (225) 374-1410
- NPI assigned
- Apr 9, 2014
- Last updated
- Aug 7, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | 335370 | LA | Primary |
| Pediatrics Physician | 208000000X | MD461773 | PA | |
| Hospitalist Physician | 208M00000X | R6151 | TX |
Addresses
Primary practice location
8300 Constantin Blvd
Baton Rouge, LA 70809-3489
Mailing address
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 374-1410
Other practice location 1
7600 Beechnut St
Houston, TX 77074-4302
Phone (713) 456-5000
Other practice location 2
1011 N Elmer Ave
Sayre, PA 18840-1832
Phone (570) 887-3070
Other practice location 3
529 Sunflower Dr
Du Bois, PA 15801-2378
Phone (814) 371-1510
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Meharry Medical College School of Medicine, 2014
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 335370 | LA | MD | Pediatrics Physician |
| MD461773 | PA | MD | Pediatrics Physician |
| R6151 | TX | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatrix Medical Group of Texas Billing, Inc. | Pediatrics | Current | Accepting new patients |
| Children's International L.L.C. | Pediatrics | Past | Accepting new patients |
| Dubois Regional Medical Center | Hospitalist | Past | Accepting new patients |
Locations
1500 Concord Ter
Fl 5
Sunrise, FL 33323
Phone (954) 384-0175
800 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 548-6100
1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058
3500 Gaston Ave
Dallas, TX 75246
7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Neonatal-Perinatal Medicine Physician
- Houston, TX
- NPI 1649377359
Pediatrics
-
- Pediatrics Physician
- Slidell, LA
- NPI 1073620498
-
dba Penn Highlands DuBois
- General Acute Care Hospital
- Du Bois, PA
- NPI 1144249657
Hospitalist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786060800000",
"number": "1902225774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5959 S SHERWOOD FOREST BLVD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708166038",
"telephone_number": "225-374-1410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8300 CONSTANTIN BLVD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708093489",
"telephone_number": "225-374-1410"
}
],
"practiceLocations": [
{
"address_1": "7600 Beechnut St",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770744302",
"country_code": "US",
"telephone_number": "713-456-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1011 N Elmer Ave",
"address_purpose": "LOCATION",
"city": "Sayre",
"state": "PA",
"postal_code": "188401832",
"country_code": "US",
"telephone_number": "570-887-3070",
"fax_number": "570-887-3382",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "529 Sunflower Dr",
"address_purpose": "LOCATION",
"city": "Du Bois",
"state": "PA",
"postal_code": "158012378",
"country_code": "US",
"telephone_number": "814-371-1510",
"fax_number": "814-371-2922",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOGAN",
"first_name": "SHANNON",
"middle_name": "TRICHEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-09",
"last_updated": "2026-08-07",
"certification_date": "2026-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "LA",
"license": "335370",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD461773",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "TX",
"license": "R6151",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; 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.