NPIMap

Individual provider Active NPI

Bryan Anthony Picou Jr., M.D.

  • Family Medicine Physician
  • Natchitoches, LA
National Provider Identifier
1174969133
Registry record updated Oct 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.208184 Issued in LA
Practice address
1029 Keyser Ave
Suite G
Natchitoches, LA 71457-6239
Phone
(318) 352-2971
Fax
(318) 356-0850
NPI assigned
May 17, 2013
Last updated
Oct 10, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD.208184 LA Primary

Addresses

Primary practice location

1029 Keyser Ave
Suite G
Natchitoches, LA 71457-6239

Mailing address

1029 Keyser Ave
Suite G
Natchitoches, LA 71457-6239
Phone (318) 352-2971

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160421000464 LA Practitioner - Family Practice 1254639404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Tulane University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Natchitoches Medical SpecialistsGroup PAC ID 5395889927, 3 clinicians

Practice addresses (Care Compare)

505 Royal St
Suite B
Natchitoches, LA 71457-5728
Phone (318) 352-2971

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue59
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Natchitoches Medical Specialists Family Medicine CurrentSince Apr 6, 2016 Accepting new patients
Natchitoches Medical Specialists CurrentSince Apr 6, 2016 Accepting new patients
Natchitoches Parish Hospital Service District Past Accepting new patients

Locations

1029 Keyser Ave
Natchitoches, LA 71457
Phone (318) 238-6001

1029 Keyser Ave
Ste A
Natchitoches, LA 71457
Phone (318) 352-7768

1029 Keyser Ave
Ste G
Natchitoches, LA 71457
Phone (318) 325-2971

505 Royal St
Ste B
Natchitoches, LA 71457
Phone (318) 352-2971

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 30

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1368748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476057600000",
    "number": "1174969133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 KEYSER AVE",
            "address_2": "SUITE G",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714576239",
            "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": "1029 KEYSER AVE",
            "address_2": "SUITE G",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714576239",
            "telephone_number": "318-352-2971",
            "fax_number": "318-356-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICOU",
        "first_name": "BRYAN",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-17",
        "last_updated": "2016-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD.208184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natchitoches, LA

Sources for this page

Verify at the official NPI Registry.