Gregory W Bryan, DPM | |
385 Bert Kouns, Bldg. 200, Shreveport, LA 71106-8158 | |
(318) 687-8447 | |
(318) 687-9950 |
Full Name | Gregory W Bryan |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 42 Years |
Location | 385 Bert Kouns, Shreveport, 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 |
---|---|---|---|
1528035888 | NPI | - | NPPES |
1382850 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0131X | Podiatrist - Foot Surgery | PD067R (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Christus Health Shreveport - Bossier | Shreveport, LA | Hospital |
Willis Knighton Medical Center, Inc | Shreveport, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ark La Tex Foot And Ankle Specialists Llc | 7214931450 | 3 |
Provider Name | Ark La Tex Foot & Ankle Specialists Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1235168311 PECOS PAC ID: 7214931450 Enrollment ID: O20060831000181 |
Mailing Address | Practice Location Address |
---|---|
Gregory W Bryan, DPM 385 Bert Kouns, Bldg. 200, Shreveport, LA 71106-8158 Ph: (318) 687-8447 | Gregory W Bryan, DPM 385 Bert Kouns, Bldg. 200, Shreveport, LA 71106-8158 Ph: (318) 687-8447 |
Southside Foot Clinic Podiatrist Medicare: Medicare Enrolled Practice Location: 9308 Mansfield Rd, Ste 100, Shreveport, LA 71118 Phone: 318-687-6266 Fax: 318-683-1023 | |
Dr. Alaye Eldred Whyte, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1718 Kings Hwy, Shreveport, LA 71103 Phone: 318-636-2669 Fax: 318-636-2663 | |
Dr. Frederick Jacques Hall, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 678-640-5685 | |
Dr. Dale Carlton Fazio, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1914 E 70th St, Suite D, Shreveport, LA 71105 Phone: 318-797-3470 Fax: 318-797-9956 | |
Evetta Lavern Borden, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 912-977-0584 | |
Ark La Tex Foot & Ankle Specialists, Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 385 Bert Kouns, Bldg. 200, Shreveport, LA 71106 Phone: 318-687-8447 Fax: 318-687-9950 | |
Dr. Sheila D. Washington, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 318-221-8411 |