Dr C Bryan Miller, MD | |
433 Plaza St, Bogalusa, LA 70427-3729 | |
(985) 730-6700 | |
(985) 730-6713 |
Full Name | Dr C Bryan Miller |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 433 Plaza St, Bogalusa, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396742508 | NPI | - | NPPES |
1801020433 | Other | LA | NPI SMH PHYSICIAN NETWORK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 12706R (Louisiana) | Primary |
Entity Name | Our Lady Of The Angels Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912334533 PECOS PAC ID: 7012144322 Enrollment ID: O20140602000869 |
Mailing Address | Practice Location Address |
---|---|
Dr C Bryan Miller, MD 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: (225) 526-0001 | Dr C Bryan Miller, MD 433 Plaza St, Bogalusa, LA 70427-3729 Ph: (985) 730-6700 |
Dr. Anthony Jude Palazzo, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 405 Avenue F, Bogalusa, LA 70427 Phone: 985-732-1568 Fax: 985-732-4458 | |
Dr. Steven Paul Ogden, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 420 Avenue F, Bogalusa, LA 70427 Phone: 985-732-0058 | |
David Jeffrey Mohr, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 420 Avenue F, Bogalusa, LA 70427 Phone: 985-732-0058 Fax: 985-732-0019 | |
Dr. Victor Gaston Theriault, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 712 Willis Ave, Bogalusa, LA 70427 Phone: 985-732-4853 Fax: 985-735-8883 | |
John R. Tucker Iii, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 433 Plaza St, Bogalusa, LA 70427 Phone: 985-730-6705 Fax: 985-730-7183 | |
Dr. Golam Daud Noaz, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 617 Avenue F, Bogalusa, LA 70427 Phone: 985-545-1070 Fax: 985-545-1071 |