Bayou MD, LC
Organization Active NPI Family Medicine Physician · Rayville, LA
NPI 1003089525 · NPPES record last updated Apr 4, 2008
Key facts
- NPI
- 1003089525
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- BAYOU MD, LC
- Practice address
- 990 Highway 425
Rayville, LA 71269-6489 - Phone
- (888) 923-6363
- Fax
- (888) 923-6363
- NPI assigned
- Apr 4, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Brian Paul Krier, MD
- Title
- Owner/Manager
- Phone
- (888) 923-6363
Practitioners 2
-
Brian Paul Krier, M.D.
-
Terry Michelle Zagar, PHARM.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080424000689 | LA | Part B Supplier - Clinic/Group Practice | 3577641919 |
Receives reassigned benefits from 1 practitioner Practice locations: Monroe, LA; West Monroe, LA; Rayville, LA |
National Provider Directory
Locations
10280 Boswell St
Bastrop, LA 71220
Phone (318) 239-4497
325 Chauvin Pointe Dr
Monroe, LA 71203
Phone (318) 345-5546
100 S Point Dr
Monroe, LA 71202
Phone (318) 651-7378
294 Highway 3048
Rayville, LA 71269
Phone (318) 728-2089
414 Harrison St
Rayville, LA 71269
Phone (318) 728-2646
200 Wallace Rd
West Monroe, LA 71291
Phone (318) 397-1998
1616 Wellerman Rd
West Monroe, LA 71291
Phone (318) 387-2577
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
990 Highway 425
Rayville, LA 71269-6489
Mailing address
PO Box 1164
Rayville, LA 71269-1164
Phone (888) 923-6363
Other providers in Rayville, LA
- B&L Dental, LLC
- Roy Franklin Baas
- Andrea Bailey
- Scott Wilson Baldelli
- Tina Chantelle Bass
- Loren B Beck
- Stewart Sheldon Bedillion
- Randy Bell
- Crystal Lynn Bennett
- Jennifer Gay Bennett
All providers in Rayville, LA · Family Medicine Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.