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

Dr. Edwin R Bonilla, MD

Individual provider Family Medicine Physician · NPI 1891806121

Dr. Edwin R Bonilla, MD is a Family Practice in Deridder, Louisiana. Graduated from University Central Del Caribe Escuela De Medicina in 1983, 43 years ago. Practices with Family Healthcare of Beauregard, LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
43
Trained at
University Central Del Caribe Escuela De Medicina
Licensed in
LA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

403 W 8th St
Deridder, LA 70634-5507
Phone: (337) 463-8977
Fax: (337) 462-3093
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 08674 (LA)

Record details

NPI number1891806121
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 31, 2006
Last updated in NPPESApril 8, 2015
Mailing address901 Birch Dr, Deridder, LA 70634-5308

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY CENTRAL DEL CARIBE ESCUELA DE MEDICINA
Graduated 1983 (43 years in practice)
Group practice Family Healthcare Of Beauregard, Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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