Martin Bryan Tanner, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

012039 Issued in LA

Practice address

501 Medical Center Dr
Suite 200
Alexandria, LA 71301-8124

Phone

(318) 487-1289

Fax

(318) 487-1254

NPI assigned

Nov 15, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Rapides Regional Physician Group Specialty Care, LLC

  • Specialist
  • Alexandria, LA
  • NPI 1043309016

  Obstetrics & Gynecology

  NPD (past)
• Women'S Health Center, Apmc

  • Specialist
  • Alexandria, LA
  • NPI 1790869295
  NPD (past)

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207008000000",
    "number": "1275515355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 MARYE ST",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713014924",
            "telephone_number": "318-487-8349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MEDICAL CENTER DR",
            "address_2": "SUITE 200",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713018124",
            "telephone_number": "318-487-1289",
            "fax_number": "318-487-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "MARTIN",
        "middle_name": "BRYAN",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2008-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "012039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164763",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Goutham Talluri
• Amanda Tamasi
• Ramon Taguiam Tancioco III, DMD
• Irish Tangson
• Davonna Tanner
• Bhuvana Krishna Tantry, MD
• Crystal Taplette
• Megan Marcelle Tarpley
• Emily Brasseaux Tassin, PA
• Jenny Tassin, CCC-SLP

• Obstetrics & Gynecology Physician in Alexandria, LA
• Providers in Alexandria, LA by specialty
• Obstetrics & Gynecology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.