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

Michael Proctor

Individual provider Family Medicine Physician · NPI 1710144902

Michael Proctor is an Emergency Medicine in Monroe, Louisiana. Qualified in 2007, 19 years ago. Practices with Richland Parish Hospital Service District No 1-B, a 42-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
19
Licensed in
LA
In the registry since
2008
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Practice location Address checks out

4864 Jackson St
Monroe, LA 71202-6400
Phone: (318) 333-0703
Fax: (318) 330-7648
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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 204759 (LA)

Record details

NPI number1710144902
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 16, 2008
Last updated in NPPESOctober 6, 2016
Mailing address2015 Rosedown Dr, Monroe, LA 71201-3084

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Richland Parish Hospital Service District No 1-B — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Monroe