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

Bryan L Bolwahnn, PHD, MP

Individual provider Prescribing (Medical) Psychologist · NPI 1043247331

Bryan L Bolwahnn, PHD, MP is a Clinical Psychologist in Ball, Louisiana. Qualified in 2001, 25 years ago. Practices with Administrators of the Tulane Educational Fund, a 393-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
25
Licensed in
LA
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

100 Gayven Dr
Ball, LA 71405-4903
Phone: (318) 641-0444
Fax: (318) 641-6118
Show map & directions

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

Specialties & licences

Prescribing (Medical) Psychologist (primary) Taxonomy 103TP0016X · Licence 926MPAP (LA)

Record details

NPI number1043247331
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD , MP
Sole proprietorNo
NPI enumeratedJune 26, 2006
Last updated in NPPESOctober 9, 2013
Mailing address100 Gayven Dr, Ball, LA 71405-4903

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Administrators Of The Tulane Educational Fund — 393 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare