KYLE BRUYNINCKX (NPI# 1972770378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972770378 |
| Entity Type | Individual |
| Full Name | KYLE BRUYNINCKX |
| Credential | MD |
| Practice Address |
111 Ellington Dr Rayville LA 71269-3632 |
| Mailing Address |
254 Highway 3048 Rayville LA 71269-3624 |
| Practice Telephone | 3186610220 |
| Mailing Telephone | 3187284181 |
| Mailing Fax Number | 3187288107 |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2020-01-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD203484 | LA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | MD203484 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1052558 | 05 |
| Street Address |
111 ELLINGTON DR |
| City | RAYVILLE |
| State | LA |
| Zip Code | 71269-3632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093367963 | Richland Parish Hospital Service District No. 1-b | Family Medicine | 111 Ellington Dr, Rayville, LA 71269-3632 | 2019-07-11 |
| 1942514385 | Kasey Thompson | Nurse Practitioner | 111 Ellington Dr, Rayville, LA 71269-3632 | 2010-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089106 | Patricia Riley Mceacharn | Counselor | 161 Coumeaux Rd, Rayville, LA 71269 | 2020-10-08 |
| 1073122420 | Second Chances Recovery Center LLC | Substance Abuse Rehabilitation Facility | 161 Coumeaux Road, Rayville, LA 71269 | 2020-07-30 |
| 1518580901 | Carrie Hendrix Allen | Physical Therapist | 29 Clark Rd, Rayville, LA 71269 | 2020-05-20 |
| 1679056378 | Donnesha Martin | Case Manager/Care Coordinator | 114 Ineichen Street Suite A, Rayville, LA 71269 | 2018-09-10 |
| 1518474238 | Colonial Manor Nursing and Rehabilitation Home Inc | Skilled Nursing Facility | 307 Foster Street, Rayville, LA 71269 | 2018-01-03 |
| 1205294535 | Patricia S Johnson | Counselor | 114 Ineechen Street, Rayville, LA 71269 | 2016-02-01 |
| 1235423526 | Melissa Sears | Case Manager/Care Coordinator | 114 Ineichen St Ste A, Rayville, LA 71269 | 2011-06-03 |
| 1639484983 | W. Tyler Heath, D.m.d., Family Dentistry A Dent | Dentist | 1107 Louisa Street, Rayville, LA 71269 | 2010-08-11 |
| 1093996969 | Richardson Medical Center School Based Health Clinic | Clinic/Center | 155 Hwy 3048, Rayville, LA 71269 | 2007-11-20 |
| 1477761393 | Cookies Helping Hands | Technician | 1298 Hwy 861, Crowville, LA 71269 | 2007-05-21 |
| Find all providers in zip 71269 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144501 | Sw Louisiana Internal Medicine LLC | Internal Medicine | 105 Patriot St Ste 202, Lafayette, LA 70508-6831 | 2020-11-04 |
| 1861002958 | Ochsner Clinic LLC | Internal Medicine | 1051 Gause Blvd Ste 380, Slidell, LA 70458-2997 | 2020-08-04 |
| 1477178804 | Enclave Health Plus LLC | Internal Medicine | 327 Jefferson Oaks Dr, Ruston, LA 71270-7080 | 2020-06-11 |
| 1518581305 | Ochsner Clinic LLC | Internal Medicine | 10150 Bluebonnet Blvd, Baton Rouge, LA 70810-7131 | 2020-06-08 |
| 1205459732 | Gulf Coast Medical Specialists LLC | Internal Medicine | 1620 Belle Chasse Hwy Suite 101, Gretna, LA 70056 | 2020-05-19 |
| 1417583428 | Garbutt Medical LLC | Internal Medicine | 9373 Barringer Foreman Rd Bldg 2, Baton Rouge, LA 70809-5716 | 2020-03-21 |
| 1437784907 | Affinity Health Group, LLC | Internal Medicine | 13348 Coursey Blvd, Baton Rouge, LA 70816-4970 | 2020-03-05 |
| 1538794011 | Ochsner Clinic LLC | Internal Medicine | 4150 Nelson Rd Bldg C, Lake Charles, LA 70605-4148 | 2020-03-05 |
| 1790315026 | Cody Tingle Md LLC | Internal Medicine | 535 Pierremont Rd, Shreveport, LA 71106-2207 | 2020-01-26 |
| 1376182188 | Ochsner Clinic LLC | Internal Medicine | 5950 Bullard Ave, New Orleans, LA 70128-2816 | 2019-12-26 |
| Find all providers with the same taxonomy | ||||
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| 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.