Bryan G Frentz - a Professional Medical Corporation

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

BRYAN G FRENTZ - A PROFESSIONAL MEDICAL CORPORATION

Practice address

1151 Marguerite St
Suite 700 B
Morgan City, LA 70380-1850

Phone

(985) 221-4320

NPI assigned

May 5, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Tracy Frentz

Title

Practice Manager

Phone

(337) 254-9980

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1493942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552348800000",
    "number": "1295261519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 PRINCETON WOODS LOOP",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086601",
            "telephone_number": "337-254-9980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 MARGUERITE ST",
            "address_2": "SUITE 700 B",
            "city": "MORGAN CITY",
            "state": "LA",
            "postal_code": "703801850",
            "telephone_number": "985-221-4320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN G FRENTZ - A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-05",
        "last_updated": "2019-03-12",
        "status": "A",
        "authorized_official_last_name": "FRENTZ",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "337-254-9980",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "LA",
            "license": "MD.024773",
            "primary": false
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC",
            "identifier": "7633960001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donald Broussard
• Stephen Charles Brower, D.C.
• Alexia Brown
• Ronald Earl Brown II, PMHNP-BC
• Erica S Brunson, PT
• Ronald Steven Bucci, RPH
• Megan Renee Burgess, RN
• Abby A Burke, NP-C
• Calcasieu Urgent Care, LLC
• Cynthia Marie Calvert, RPH

• Non-Pharmacy Dispensing Site in Morgan City, LA
• Providers in Morgan City, LA by specialty
• Non-Pharmacy Dispensing Site in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; 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.