Individual provider Active NPI

Bryan Haywood Mills, M.D.

  • Emergency Medicine Physician
  • Shreveport, LA
National Provider Identifier
1407845266
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
04385R Issued in LA
Practice address
7225 Fern Ave
Shreveport, LA 71105-4969
Phone
(318) 629-3630
Fax
(318) 629-3640
NPI assigned
Oct 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 04385R LA Primary

Addresses

Primary practice location

7225 Fern Ave
Shreveport, LA 71105-4969

Mailing address

7225 Fern Ave
Shreveport, LA 71105-4969
Phone (318) 629-3630

Other identifiers 1

IdentifierTypeStateIssuer
1989088MedicaidLA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050222000793 LA Practitioner - Emergency MedicinePractitioner - General Practice 4284687971

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04385RLAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shreveport Family Medicine Inc PastSince Jan 7, 2010 Accepting new patients
WK Urgent Care Center - Bossier PastSince Apr 1, 2001 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1407845266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7225 FERN AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711054969",
            "telephone_number": "318-629-3630",
            "fax_number": "318-629-3640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7225 FERN AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711054969",
            "telephone_number": "318-629-3630",
            "fax_number": "318-629-3640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "BRYAN",
        "middle_name": "HAYWOOD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "04385R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1989088",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.