Active NPI
Redfield E Bryan Jr., MD
- Urology Physician
- Baton Rouge, LA
National Provider Identifier
1376723304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 009241
- Practice address
- 2020 Rue Provence
Baton Rouge, LA 70806-8361 - Phone
- (225) 938-5438
- NPI assigned
- Nov 7, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 009241 | LA | Primary |
Addresses
Primary practice location
2020 Rue Provence
Baton Rouge, LA 70806-8361
Mailing address
2020 Rue Provence
Baton Rouge, LA 70806-8361
Phone (225) 938-5438
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009241 | LA | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194393600000",
"number": "1376723304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 RUE PROVENCE",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708068361",
"telephone_number": "225-938-5438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 RUE PROVENCE",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708068361",
"telephone_number": "225-938-5438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYAN",
"first_name": "REDFIELD",
"middle_name": "E",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-07",
"last_updated": "2007-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "LA",
"license": "009241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.