Individual
DR. BENNY M POPWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M
Contact information
Practice address
1455 E BERT KOUNS INDUSTRIAL LOOP STE 306, SHREVEPORT, LA 71105-5634
(318) 798-4400
(318) 798-4531
Mailing address
1455 E BERT KOUNS LOOP, SHREVEPORT, LA 71105-5634
(318) 798-4400
(318) 798-4621
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
014125
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050825102
TEXAS MEDICAID
TX
01
—
1053315846
GROUP NPI NUMBER
LA
05
—
1314293
—
LA
01
—
P00313369
RAILROAD MEDICARE
LA
Enumeration date
06/09/2005
Last updated
02/02/2026
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