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

Christopher Blake Bamburg, PA

Individual provider Physician Assistant · NPI 1780994277

Christopher Blake Bamburg, PA is a Physician Assistant in Monroe, Louisiana. Licensed in Louisiana. Registered with an NPI since 2010.

Licensed in
LA
In the registry since
2010
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

920 Oliver Rd
Monroe, LA 71201-5702
Phone: (318) 807-6267
Fax: (318) 812-6458
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA200394 (LA)

Record details

NPI number1780994277
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 18, 2010
Last updated in NPPESJune 11, 2019

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