Kyle B Bruyninckx (NPI# 1972770378, PAC ID# 2163670688) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PEDIATRIC MEDICINE.
| Nation Provider ID (NPI) | 1972770378 |
| PAC ID by PECOS | 2163670688 |
| Professional Enrollment ID | I20120907000037 |
| Full Name | Kyle B Bruyninckx |
| Organization Legal Name | RICHLAND PARISH HOSPITAL SERVICE DISTRICT NO 1-B |
| Address |
111 Ellington Dr Family Health Clinic Rayville LA 71269-3632 |
| Phone Number | 3187284181 |
| Gender | M |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT |
| Graduation Year | 2008 |
| Primary Specialty | PEDIATRIC MEDICINE |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 2163481599 |
| Number of Group Practice Members | 24 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190151 | RICHARDSON MEDICAL CENTER |
| 190140 | FRANKLIN MEDICAL CENTER |
| 190125 | ST FRANCIS MEDICAL CENTER |
| 191323 | RICHLAND PARISH HOSPITAL-DELHI |
| Address | Phone | Organization |
|---|---|---|
| 111 Ellington Dr, Family Health Clinic, Rayville, LA 71269-3632 | 3187284181 | RICHLAND PARISH HOSPITAL SERVICE DISTRICT NO 1-B |
| Organization Legal Name | RICHLAND PARISH HOSPITAL SERVICE DISTRICT NO 1-B |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Virginia A Brown | Diagnostic Radiology | Richland Parish Hospital Service District No 1-b | 129 Christian Dr, Rayville, LA 71269-3658 |
| Michael D Proctor | Emergency Medicine | Richland Parish Hospital Service District No 1-b | 256 Hwy 3048, Rayville, LA 71269-3624 |
| Jennifer G Bennett | Nurse Practitioner | Richland Parish Hospital Service District No 1-b | 254 Hwy 3048, Rayville, LA 71269-3624 |
| Kevin M Carlisle | Emergency Medicine | Richland Parish Hospital Service District No 1-b | 254 Hwy 3048, Rayville, LA 71269-3624 |
| Jerred L Anderson | Certified Registered Nurse Anesthetist (crna) | Richland Parish Hospital Service District No 1-b | 254 Hwy 3048, Rayville, LA 71269-3624 |
| Raymond R Smith Jr. | Certified Registered Nurse Anesthetist (crna) | Richland Parish Hospital Service District No 1-b | 254 Hwy 3048, Rayville, LA 71269-3624 |
| Matthew D Prine | Family Medicine | Richland Parish Hospital Service District No 1-b | 254 Hwy 3048, Rayville, LA 71269-3624 |
| Addison D Thompson | General Surgery | Richland Parish Hospital Service District No 1-b | 254 Hwy 3048, Rayville, LA 71269-3624 |
| Joshua A Foster | Certified Registered Nurse Anesthetist (crna) | Richland Parish Hospital Service District No 1-b | 254 Hwy 3048, Rayville, LA 71269-3624 |
| Emily M Stansbury | Nurse Practitioner | Richland Parish Hospital Service District No 1-b | 254 Hwy 3048, Rayville, LA 71269-3624 |
| Street Address |
111 ELLINGTON DR FAMILY HEALTH CLINIC |
| City | RAYVILLE |
| State | LA |
| Zip | 71269-3632 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Albert G Kerr | Family Medicine | 121 Christian Dr, Rayville, LA 71269-0749 | |
| Michael D Proctor | Emergency Medicine | Richland Parish Hospital Service District No 1-b | 256 Hwy 3048, Rayville, LA 71269-3624 |
| Jennifer G Bennett | Nurse Practitioner | Richland Parish Hospital Service District No 1-b | 254 Hwy 3048, Rayville, LA 71269-3624 |
| Kevin M Carlisle | Emergency Medicine | Richland Parish Hospital Service District No 1-b | 254 Hwy 3048, Rayville, LA 71269-3624 |
| Jerred L Anderson | Certified Registered Nurse Anesthetist (crna) | Richland Parish Hospital Service District No 1-b | 254 Hwy 3048, Rayville, LA 71269-3624 |
| Raymond R Smith Jr. | Certified Registered Nurse Anesthetist (crna) | Richland Parish Hospital Service District No 1-b | 254 Hwy 3048, Rayville, LA 71269-3624 |
| Matthew D Prine | Family Medicine | Richland Parish Hospital Service District No 1-b | 254 Hwy 3048, Rayville, LA 71269-3624 |
| Addison D Thompson | General Surgery | Richland Parish Hospital Service District No 1-b | 254 Hwy 3048, Rayville, LA 71269-3624 |
| Joshua A Foster | Certified Registered Nurse Anesthetist (crna) | Richland Parish Hospital Service District No 1-b | 254 Hwy 3048, Rayville, LA 71269-3624 |
| Emily M Stansbury | Nurse Practitioner | Richland Parish Hospital Service District No 1-b | 254 Hwy 3048, Rayville, LA 71269-3624 |
| Find all physicians in zip 71269 | |||
| City | RAYVILLE |
| Zip Code | 71269 |
| Specialty | PEDIATRIC MEDICINE |
| City + Specialty | RAYVILLE + PEDIATRIC MEDICINE |
Please comment or provide details below to improve the information on Kyle B Bruyninckx.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.