Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bogalusa Family Practice

Organization General Practice Physician · NPI 1104084839

Bogalusa Family Practice is a General Practice Physician in Bogalusa, Louisiana. Licensed in Louisiana. Registered with an NPI since 2008.

Licensed in
LA
In the registry since
2008

Practice location Address checks out

433 Plaza St
Bogalusa, LA 70427-3729
Phone: (985) 735-1198
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence MD107924 (LA)

Record details

NPI number1104084839
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Melvin Lester — Billing Clerk · (985) 732-1899
NPI enumeratedMay 29, 2008
Last updated in NPPESMay 29, 2008
Mailing addressPo Box 700, Bogalusa, LA 70429-0700

Other providers in Bogalusa