Individual provider Active NPI

Bryan G Laura, MD

  • Internal Medicine Physician
  • Evansville, IN
National Provider Identifier
1346227725
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01037535A Issued in IN
Practice address
801 Saint Marys Dr Ste 110E
Evansville, IN 47714-0515
Phone
(812) 485-1895
NPI assigned
Dec 28, 2005
Last updated
Jul 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01037535A IN Primary

Addresses

Primary practice location

801 Saint Marys Dr Ste 110E
Evansville, IN 47714-0515

Mailing address

801 Saint Marys Dr Ste 110E
Evansville, IN 47714-0515

Other identifiers 1

IdentifierTypeStateIssuer
200022860MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bryan.laura.1@7598.direct.athenahealth.com St Mary's Medical Group, LLC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080911000617 IN Practitioner - Internal Medicine 4688638935 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Marys Medical Group LLCGroup PAC ID 1153493341, 230 clinicians

Practice addresses (Care Compare)

3801 Bellemeade Ave
Evansville, IN 47714-0114

801 Saint Marys Dr
505E
Evansville, IN 47714-0528
Phone (812) 491-3236

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as apm

Procedures performed for Medicare patients

ProcedureNumber of procedures
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
St Mary's Medical Group, LLC Internal Medicine CurrentSince Feb 25, 2014 Accepting new patients
St. Mary's Physicians' Health Group, LLC Past Accepting new patients
St. Mary's Health, Inc Internal Medicine Past Accepting new patients

Locations

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

3801 Bellemeade Ave
Ste 200A
Evansville, IN 47714
Phone (812) 485-1796

3801 Bellemeade Ave
Ste 200B
Evansville, IN 47714
Phone (812) 485-1889

801 Saint Marys Dr
Ste 110E
Evansville, IN 47714
Phone (812) 485-1745

801 Saint Marys Dr
Ste 302E
Evansville, IN 47714
Phone (812) 485-4141

801 Saint Marys Dr
Ste 505E
Evansville, IN 47714
Phone (812) 491-3236

Interoperability endpoints

  • Direct secure messaging: bryan.laura.1@7598.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1346227725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 SAINT MARYS DR STE 110E",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 SAINT MARYS DR STE 110E",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140515",
            "telephone_number": "812-485-1895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAURA",
        "first_name": "BRYAN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01037535A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200022860",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bryan.laura.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St Mary's Medical Group, LLC",
            "address_1": "801 Saint Marys Dr Ste 110E",
            "city": "Evansville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "477140515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.