Active NPI
Natchitoches Medical Specialists
- Family Medicine Physician
- Natchitoches, LA
National Provider Identifier
1124257530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- NATCHITOCHES MEDICAL SPECIALISTS
- Practice address
- 505 Royal St Ste B
Natchitoches, LA 71457-5728 - Phone
- (318) 352-2971
- Fax
- (318) 356-0850
- NPI assigned
- Jul 7, 2009
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dr. Bryan A Picou, MD
- Title
- President
- Phone
- (318) 352-2971
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Natchitoches, LA
- NPI 1174969133
Family Medicine, LA
-
- Family Medicine Physician
- Natchitoches, LA
- NPI 1922003656
Family Medicine, LA
-
- Family Medicine Physician
- Natchitoches, LA
- NPI 1033115159
Family Medicine, LA
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D2330555 | Natchitoches Medical Specialists, LLC | Certificate of waiver | Sep 17, 2027 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100221000012 | LA | Part B Supplier - Clinic/Group Practice | 5395889927 |
Receives reassigned benefits from 4 practitioners Practice locations: Natchitoches, LA |
National Provider Directory
National Provider DirectoryLocations
1029 Keyser Ave
Ste G
Natchitoches, LA 71457
Phone (318) 325-2971
1029 Keyser Ave
Ste J
Natchitoches, LA 71457
Phone (318) 238-6001
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
505 Royal St Ste B
Natchitoches, LA 71457-5728
Mailing address
505 Royal St Ste B
Natchitoches, LA 71457-5728
Phone (318) 352-2971
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2101803 | Medicaid | LA | |
| 6443890001 | Other | LA | DME PTAN |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 19, 2024.
{
"created_epoch": "1246924800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729296000000",
"number": "1124257530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 ROYAL ST STE B",
"city": "NATCHITOCHES",
"state": "LA",
"postal_code": "714575728",
"telephone_number": "318-352-2971",
"fax_number": "318-356-0850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 ROYAL ST STE B",
"city": "NATCHITOCHES",
"state": "LA",
"postal_code": "714575728",
"telephone_number": "318-352-2971",
"fax_number": "318-356-0850"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NATCHITOCHES MEDICAL SPECIALISTS",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-07",
"last_updated": "2024-10-19",
"certification_date": "2024-10-19",
"status": "A",
"authorized_official_last_name": "PICOU",
"authorized_official_first_name": "BRYAN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "318-352-2971",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2101803",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DME PTAN",
"identifier": "6443890001",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Natchitoches, LA
- Natchitoches Association for Retarded Citizens, Inc.
- Natchitoches Association for Retarded Citizens, Inc.
- Natchitoches Behavioral Health Clinic
- Natchitoches Family Eye Care LLC
- Natchitoches Home Health Services, Inc.
- Natchitoches Nephrology and Hypertension LLC
- Natchitoches Nursing and Rehabilitation Center, LLC
- Natchitoches Outpatient Services
- Natchitoches Parish Hospital Service District
- Natchitoches Parish Hospital Service District
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.