GREGORY W BRYAN (NPI# 1528035888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528035888 |
| Entity Type | Individual |
| Full Name | GREGORY W BRYAN |
| Credential | DPM |
| Practice Address |
385 Bert Kouns Bldg. 200 Shreveport LA 71106-8158 |
| Practice Telephone | 3186878447 |
| Practice Fax Number | 3186879950 |
| Mailing Telephone | 3186878447 |
| Mailing Fax Number | 3186879950 |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2011-07-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
PD067R | LA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1382850 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376803650 | Gregory Alan Bryan | Anesthesiology | 176 Palisade Ave, Jersey City, NJ 07306-1121 | 2012-05-21 |
| 1316082159 | Gregory Lee Bryan | Dentist | 10120 S Eastern Ave, Suite 345, Henderson, NV 89052-3951 | 2007-02-20 |
| 1598765984 | Gregory K. Bryan | Specialist | 112 S Jones Blvd, Las Vegas, NV 89107-2614 | 2005-07-28 |
| Street Address |
385 BERT KOUNS BLDG. 200 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71106-8158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437126786 | R. B. Drummond | Podiatrist | 385 Bert Kouns, Bldg. 200, Shreveport, LA 71106-8158 | 2006-03-07 |
| 1235168311 | Ark La Tex Foot & Ankle Specialists, LLC | Podiatrist | 385 Bert Kouns, Bldg. 200, Shreveport, LA 71106-8158 | 2006-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972008332 | Andrew Joseph Brouillette | Dentist | 385 Bert Kouns Industrial Loop Ste 700, Shreveport, LA 71106 | 2018-03-28 |
| 1548775885 | David Wayne Spears | Pharmacist | 10460 Norris Ferry Road, Shreveport, LA 71106 | 2017-12-08 |
| 1225559263 | Susan Anderson Roblow | Physical Therapist | 921 Unadilla Street, Shreveport, LA 71106 | 2017-06-29 |
| 1134656382 | James Lowder | Dentist | 8691 Line Ave Ste 300, Shreveport, LA 71106 | 2017-05-18 |
| 1144753708 | Laverne Brantley | Counselor | 328 E 69th St, Shreveport, LA 71106 | 2017-04-10 |
| 1437690849 | Biostat Laboratories, LLC | Clinical Medical Laboratory | 9742 Saint Vincent Ave Ste 200, Shreveport, LA 71106 | 2017-03-17 |
| 1841730728 | Cedric Thomas | Case Manager/Care Coordinator | 6811 Fairfield Avenue, Shreveport, LA 71106 | 2017-02-27 |
| 1225576192 | Nick Vergis | Pharmacist | 5828 Line Avenue, Shreveport, LA 71106 | 2017-02-10 |
| 1184162554 | Marilyn Johnson | Case Manager/Care Coordinator | 9245 Wallace Lake Rd Ste A, Shreveport, LA 71106 | 2017-02-06 |
| 1417499740 | Pamela Lee | Counselor | 8802 Coyth Ln, Shreveport, LA 71106 | 2016-11-17 |
| Find all providers in zip 71106 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437126786 | R. B. Drummond | Podiatrist | 385 Bert Kouns, Bldg. 200, Shreveport, LA 71106-8158 | 2006-03-07 |
| 1427160951 | Laurence E Welker | Podiatrist | 915 Olive St, Shreveport, LA 71104-2103 | 2006-08-31 |
| 1235243767 | Sheila D. Washington | Podiatrist | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063672327 | Edward Lang | Podiatrist | 2626 Jena St., New Orleans, LA 70115-6325 | 2008-06-11 |
| 1568651966 | Louisiana Medical Foot Center Associates Inc | Podiatrist | 110 Bellemeade Blvd, Suite A, Gretna, LA 70056-7142 | 2007-10-22 |
| 1386832822 | Dr Jonathan J Gisclair Apmc Dba Lafourche Podiatry Clinic | Podiatrist | 16148 W Main St, Cut Off, LA 70345-3511 | 2007-10-10 |
| 1841483666 | Charles Anthony Caplis | Podiatrist | 2520 Harvard Ave Ste 2b, Metairie, LA 70001-1172 | 2007-08-24 |
| 1467675124 | Baton Rouge Foot Care, PC | Podiatrist | 8160 Ymca Plaza Dr Ste C, Baton Rouge, LA 70810-0916 | 2007-04-11 |
| 1104957695 | The Foot Clinic of West Louisiana | Podiatrist | 901 Shirley Street, Deridder, LA 70634 | 2007-03-08 |
| 1942384227 | Minden Foot Clinic, Inc | Podiatrist | 603 Fleming Ln, Minden, LA 71055-3073 | 2006-10-24 |
| 1639190366 | Robert Jarrett Kadish | Podiatrist | 1521 N Causeway Blvd, Ste. A, Metairie, LA 70001-4135 | 2006-07-21 |
| 1639195639 | Darren Michael Vigee | Podiatrist | 985 Robert Blvd Ste 103, Slidell, LA 70458-2063 | 2006-07-14 |
| 1447289426 | Robert A. Arango | Podiatrist | 1717 Oak Park Blvd Fl 2, Lake Charles, LA 70601-8990 | 2006-07-01 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71106 |
Please comment or provide details below to improve the information on GREGORY W BRYAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.