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

Ashley Michelle Bulloch

Individual provider Internal Medicine Physician · NPI 1790429140

Ashley Michelle Bulloch is an Internal Medicine in Monroe, Louisiana. Graduated from Louisiana State University School of Medicine in Shreveport in 2022, 4 years ago. Practices with LSU Health Sciences Center Shreveport Faculty Group Practice, a 569-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
4
Trained at
Louisiana State University School of Medicine in Shreveport
Licensed in
LA
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

309 Jackson St
Monroe, LA 71201-7407
Phone: (318) 966-4541
Fax: (225) 765-9196
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1541 Kings Hwy, Shreveport, LA 71103-4228 — (318) 626-0000

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 346459 (LA)
Hospitalist Physician Taxonomy 208M00000X · Licence 346459 (LA)

Record details

NPI number1790429140
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 22, 2022
Last updated in NPPESJune 15, 2026
Certification dateJune 15, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated 2022 (4 years in practice)
Group practice Lsu Health Sciences Center Shreveport Faculty Group Practice — 569 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Monroe