NPIMap

Organization Active NPI

Bryan a. Lebean,Sr,MD,Apmc

  • Internal Medicine Physician
  • Lafayette, LA
National Provider Identifier
1093848657
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BRYAN A. LEBEAN,SR,MD,APMC
Practice address
2930 Moss St
Suite B
Lafayette, LA 70501-1274
Phone
(337) 261-0559
Fax
(337) 261-0076
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Bryan A Lebean Sr., M.D.NPI 1821052754
Title
Owner
Phone
(337) 261-0559

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Primary Care Clinic/Center 261QP2300X L022124 LA

Addresses

Primary practice location

2930 Moss St
Suite B
Lafayette, LA 70501-1274

Mailing address

2930 Moss St
Suite B
Lafayette, LA 70501-1274
Phone (337) 261-0559

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080604000325 LA Part B Supplier - Clinic/Group Practice 1052481942 Receives reassigned benefits from 1 practitioner
Practice locations: Lafayette, LA

National Provider Directory

National Provider Directory
Tax ID family
Bryan a Lebean Sr MD Apmc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2930 Moss St
Lafayette, LA 70501

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635465600000",
    "number": "1093848657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 MOSS ST",
            "address_2": "SUITE B",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705011274",
            "telephone_number": "337-261-0559",
            "fax_number": "337-261-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 MOSS ST",
            "address_2": "SUITE B",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705011274",
            "telephone_number": "337-261-0559",
            "fax_number": "337-261-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN A. LEBEAN,SR,MD,APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-28",
        "status": "A",
        "authorized_official_last_name": "LEBEAN",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-261-0559",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "LA",
            "license": "L022124",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.