Active NPI
Bryant Medical Group LLC
- General Practice Physician
- New Iberia, LA
National Provider Identifier
1184112450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- BRYANT MEDICAL GROUP LLC
- Practice address
- 800 W Main St
New Iberia, LA 70560-3536 - Phone
- (337) 367-2567
- Fax
- (337) 367-2578
- NPI assigned
- Apr 23, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Lorrie Aucoin
- Title
- Office Clerk
- Phone
- (337) 367-2567
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
800 W Main St
New Iberia, LA 70560-3536
Mailing address
800 W Main St
New Iberia, LA 70560-3536
Phone (337) 367-2567
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181121000282 | LA | Part B Supplier - Clinic/Group Practice | 5890049225 |
Receives reassigned benefits from 8 practitioners Practice locations: Broussard, LA; Lafayette, LA; New Iberia, LA |
National Provider Directory
National Provider DirectoryLocations
208 Rue Louis Xiv
Lafayette, LA 70508
Phone (337) 504-5885
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Broussard, LA
- NPI 1780651240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524441600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1524441600000",
"number": "1184112450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 W MAIN ST",
"city": "NEW IBERIA",
"state": "LA",
"postal_code": "705603536",
"telephone_number": "337-367-2567",
"fax_number": "337-367-2578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 W MAIN ST",
"city": "NEW IBERIA",
"state": "LA",
"postal_code": "705603536",
"telephone_number": "337-367-2567",
"fax_number": "337-367-2578"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRYANT MEDICAL GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-23",
"last_updated": "2018-04-23",
"status": "A",
"authorized_official_last_name": "AUCOIN",
"authorized_official_first_name": "LORRIE",
"authorized_official_title_or_position": "OFFICE CLERK",
"authorized_official_telephone_number": "337-367-2567",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Iberia, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; 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.