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

South Bossier Medical

Organization Family Medicine Physician · NPI 1649993585

South Bossier Medical is a Family Medicine Physician in Bossier City, Louisiana. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
3

Practice location Address checks out

5668 Barksdale Blvd
Bossier City, LA 71112
Phone: (318) 735-1800
Fax: (318) 725-4960
Show map & directions

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

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X
Family Medicine Physician Taxonomy 207Q00000X
Primary Care Clinic/Center Taxonomy 261QP2300X

Record details

NPI number1649993585
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationNorth Caddo Hospital Service District
Authorized official David Jones — Ceo · (318) 375-4001
NPI enumeratedSeptember 26, 2022
Last updated in NPPESDecember 9, 2024
Certification dateDecember 9, 2024
Mailing address5260 Barksdale Blvd, Bossier City, LA 71112

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