IndividualActive
Christopher Bamburg, PA-C
NPI 1003365636 · Medical Physician Assistant · Coushatta, LA
Provider details
- NPI number
- 1003365636
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 303579 (LA)
Mailing address
200 Corporate Blvd
Lafayette, LA 70508-3870
Registry dates
- Enumerated
- 2016-09-23
- Last updated
- 2019-07-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.