Active NPI
Bryant Gerard George Sr., MD
- Neurological Surgery Physician
- Lake Charles, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 018940
- Practice address
- 1611 Foster St
Lake Charles, LA 70601-5815 - Phone
- (337) 436-7560
- Fax
- (337) 433-9861
- NPI assigned
- Dec 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 018940 | LA | Primary |
Addresses
Primary practice location
1611 Foster St
Lake Charles, LA 70601-5815
Mailing address
PO Box 62600
Dept 1453
New Orleans, LA 70162-2600
Phone (337) 436-7560
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1378356 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Louisiana State University School of Medicine in Shreveport, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1111 N Causeway Blvd
Mandeville, LA 70471-3409
Phone (985) 249-5600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018940 | LA | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rapid Urgent Care, Inc | Current | Accepting new patients | |
| Rapid Urgent Care, Inc. | Current | Accepting new patients | |
| Rapid Urgent Care, Inc. | Current | Accepting new patients | |
| Louisiana Addicition Treatment Center, LLC | Current | Accepting new patients |
Locations
57 Cumberland St
Bogalusa, LA 70427
Phone (985) 545-1300
229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225
1111 N Causeway Blvd
Mandeville, LA 70471
Phone (985) 249-5600
2170 Gause Blvd W
Ste 101
Slidell, LA 70460
Phone (975) 326-8075
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Mandeville, LA
- NPI 1285970780
-
- Addiction Medicine (Internal Medicine) Physician
- Metairie, LA
- NPI 1023606506
-
- Urgent Care Clinic/Center
- Metairie, LA
- NPI 1104272863
-
- Urgent Care Clinic/Center
- Albany, LA
- NPI 1467085530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236211200000",
"number": "1083772883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 62600",
"address_2": "DEPT 1453",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701622600",
"telephone_number": "337-436-7560",
"fax_number": "337-433-9861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 FOSTER ST",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706015815",
"telephone_number": "337-436-7560",
"fax_number": "337-433-9861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGE",
"first_name": "BRYANT",
"middle_name": "GERARD",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-05",
"last_updated": "2009-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "LA",
"license": "018940",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1378356",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.