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

Michael Shane Bowling, BOCO, BOCP

Individual provider Prosthetist · NPI 1073260519

Michael Shane Bowling, BOCO, BOCP is a Prosthetist in Baton Rouge, Louisiana. Licensed in Alabama. Registered with an NPI since 2022.

Licensed in
AL
In the registry since
2022

Practice location Address checks out

5412 Dijon Dr
Baton Rouge, LA 70808-4315
Phone: (225) 615-8693
Fax: (888) 544-6008
Show map & directions

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

Specialties & licences

Prosthetist (primary) Taxonomy 224P00000X · Licence C46945 (AL)

Record details

NPI number1073260519
Entity typeIndividual (Type 1)
GenderMale
Credentials BOCO , BOCP
Sole proprietorNo
NPI enumeratedMarch 4, 2022
Last updated in NPPESMarch 3, 2023
Certification dateMarch 3, 2023
Mailing address631 County Road 837, Boaz, AL 35957-8154

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