Family Healthcare of Beauregard, L.L.C.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

FAMILY HEALTHCARE OF BEAUREGARD, L.L.C.

Doing business as

Edwin R. Bonilla, M.D.

Practice address

403 W 8TH St
Deridder, LA 70634-5507

Phone

(337) 463-8977

Fax

(337) 462-3093

NPI assigned

Jun 4, 2014

Last updated

Jun 7, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

WEST LOUISIANA HEALTH SERVICES, INC.As reported in NPPES

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

Authorized official

Name

Mr. Jarred Veillon

Title

Cfo

Phone

(337) 462-7409

Specialties & licenses 1

Addresses

Other names 1

• Edwin R. Bonilla, M.D. Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Part of

Beauregard Memorial Hos

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• West Louisiana Health Services Inc

  dba Beauregard Health System

  • Obstetrics & Gynecology Physician
  • Deridder, LA
  • NPI 1164985495

  Member Of

  NPD member

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jonathon Sossamon

  • Family Medicine Physician
  • Deridder, LA
  • NPI 1114304375
  Medicare reassignment Care Compare group NPD
• Edwin R Bonilla, MD

  • Family Medicine Physician
  • Deridder, LA
  • NPI 1891806121
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749254400000",
    "number": "1982017273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 935",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706340935",
            "telephone_number": "337-463-8977",
            "fax_number": "337-462-3093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 W 8TH ST",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706345507",
            "telephone_number": "337-463-8977",
            "fax_number": "337-462-3093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTHCARE OF BEAUREGARD, L.L.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEST LOUISIANA HEALTH SERVICES, INC.",
        "enumeration_date": "2014-06-04",
        "last_updated": "2025-06-07",
        "certification_date": "2025-06-07",
        "status": "A",
        "authorized_official_last_name": "VEILLON",
        "authorized_official_first_name": "JARRED",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "337-462-7409",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edwin R. Bonilla, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew Cotey Duplechin, PLPC
• Dva Renal Healthcare Inc (DeRidder Dialysis)
• Nichole Millette Edwards
• Jeremy Erwin, MA, LPC
• Family Health Partners
• Family Wellness Practice LLC
• Steven C Farquhar, MD
• Jillian Daisy Farrow
• Tate Fazio, CRNA
• Sheila Feldtman

• Primary Care Clinic/Center in Deridder, LA
• Providers in Deridder, LA by specialty
• Primary Care Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.