Kyle Bruyninckx, MD | |
111 Ellington Dr, Rayville, LA 71269-3632 | |
(318) 661-0220 | |
Not Available |
Full Name | Kyle Bruyninckx |
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Gender | Male |
Speciality | Internal Medicine |
Experience | 16 Years |
Location | 111 Ellington Dr, Rayville, Louisiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972770378 | NPI | - | NPPES |
1052558 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD203484 (Louisiana) | Primary |
208000000X | Pediatrics | MD203484 (Louisiana) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Mangham Home Care, Inc. | Mangham, LA | Home health agency |
Elara Caring | Winnsboro, LA | Home health agency |
Primestar Home Health Inc | Tallulah, LA | Home health agency |
Delhi Home Care | Delhi, LA | Home health agency |
Elara Caring | Monroe, LA | Home health agency |
Richardson Medical Center | Rayville, LA | Hospital |
St Francis Medical Center | Monroe, LA | Hospital |
Franklin Medical Center | Winnsboro, LA | Hospital |
Richland Parish Hospital-delhi | Delhi, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bruyninckx Medical Llc | 2860807419 | 2 |
Entity Name | Richland Parish Hospital Service District No 1-b |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255370144 PECOS PAC ID: 2163481599 Enrollment ID: O20041011000012 |
Entity Name | Richland Parish Hospital Service District No 1-b |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043368392 PECOS PAC ID: 2163481599 Enrollment ID: O20041011000019 |
Entity Name | Affinity Health Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023291226 PECOS PAC ID: 9335226547 Enrollment ID: O20080411000088 |
Entity Name | Bruyninckx Medical Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700481660 PECOS PAC ID: 2860807419 Enrollment ID: O20210212001773 |
Mailing Address | Practice Location Address |
---|---|
Kyle Bruyninckx, MD 117 Ellington Dr, Rayville, LA 71269-3632 Ph: (318) 376-2189 | Kyle Bruyninckx, MD 111 Ellington Dr, Rayville, LA 71269-3632 Ph: (318) 661-0220 |