Active NPI
Bryan Johannes Vekovius, M.D.
- Specialist
- Shreveport, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- L023263
- Practice address
- 450 Ashley Ridge Blvd
Shreveport, LA 71106-7228 - Phone
- (318) 375-3733
- Fax
- (318) 675-3734
- NPI assigned
- Jun 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuro-ophthalmology Physician | 207WX0109X | L023263 | LA | |
| Ophthalmic Plastic and Reconstructive Surgery Physician | 207WX0200X | L023263 | LA | |
| Specialist | 174400000X | L023263 | LA | Primary |
Addresses
Primary practice location
450 Ashley Ridge Blvd
Shreveport, LA 71106-7228
Mailing address
450 Ashley Ridge Blvd
Shreveport, LA 71106-7228
Phone (318) 675-3733
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 154644202 | Other | TX | TEXAS MEDICAID |
| 170085727 | Other | LA | GROUP NPI # |
| 0238TU | Other | TX | BLUE CROSS BLUE SHIELD |
| 1495867 | Medicaid | LA | |
| 180044593 | Other | LA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Louisiana State University School of Medicine in Shreveport, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
450 Ashley Ridge Blvd
Shreveport, LA 71106-7228
Phone (318) 675-3733
450 Ashley Ridge Boulevard
Shreveport, LA 71106-7228
Hospital & facility affiliations
- Willis Knighton Medical Center
- Christus Shreveport-Bossier Health System
- Natchitoches Regional Medical Center
- Christus Good Shepherd Medical Center
- Christus St Michael Health System
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
| Melanoma (skin cancer) excision | 26 |
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 29 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L023263 | LA | MD | Neuro-ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bryan Vekovius M.D. LLC | Ophthalmology | Current | Accepting new patients |
| Lsu Health Sciences Center Shreveport Faculty Group Practice | Ophthalmology | Current | Accepting new patients |
| Laser & Cataract Center of Shreveport LLC | Past | Accepting new patients |
Locations
1501 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0434
1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402
450 Ashley Ridge Blvd
Shreveport, LA 71106
Phone (318) 375-3733
1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287
1420 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0717
Interoperability endpoints
- bryanvekovius@drvekovius.direct.eyemdemr.com
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 and National Provider Directory roles.
-
- Ophthalmology Physician
- Shreveport, LA
- NPI 1700085727
-
- Family Medicine Physician
- Shreveport, LA
- NPI 1013374222
Ophthalmology
-
- Ambulatory Surgical Clinic/Center
- Shreveport, LA
- NPI 1659356392
Hospital & facility affiliations 14
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1417950106
-
- Rural Health Clinic/Center
- Campti, LA
- NPI 1093933897
Hospital
-
- Obstetrics & Gynecology Physician
- Natchitoches, LA
- NPI 1568897692
Hospital
-
- General Acute Care Hospital
- Natchitoches, LA
- NPI 1639243967
-
- General Acute Care Hospital
- Natchitoches, LA
- NPI 1689676835
-
- Clinic/Center
- Natchitoches, LA
- NPI 1821414897
Hospital
-
- Radiation Oncology Physician
- Natchitoches, LA
- NPI 1972171072
Hospital
-
- General Acute Care Hospital
- Bossier City, LA
- NPI 1003968579
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1124170691
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1275685539
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1568461572
-
- General Acute Care Hospital
- Longview, TX
- NPI 1124092036
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589932800000",
"number": "1285674820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 ASHLEY RIDGE BLVD",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711067228",
"telephone_number": "318-675-3733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 ASHLEY RIDGE BLVD",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711067228",
"telephone_number": "318-375-3733",
"fax_number": "318-675-3734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEKOVIUS",
"first_name": "BRYAN",
"middle_name": "JOHANNES",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2020-05-20",
"certification_date": "2020-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "207WX0109X",
"taxonomy_group": "",
"desc": "Ophthalmology, Neuro-ophthalmology",
"state": "LA",
"license": "L023263",
"primary": false
},
{
"code": "207WX0200X",
"taxonomy_group": "",
"desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
"state": "LA",
"license": "L023263",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "LA",
"license": "L023263",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS MEDICAID",
"identifier": "154644202",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI #",
"identifier": "170085727",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0238TU",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1495867",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "180044593",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.