Active NPI
Bryan Haywood Mills, M.D.
- Emergency Medicine Physician
- Shreveport, LA
National Provider Identifier
1407845266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 04385R
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1989088 | Medicaid | LA |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050222000793 | LA | Practitioner - Emergency Medicine | 4284687971 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04385R | LA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shreveport Family Medicine Inc | Past | Accepting new patients | |
| WK Urgent Care Center - Bossier | Past | 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.
-
- Adult Medicine Physician
- Shreveport, LA
- NPI 1003975079
-
- Family Medicine Physician
- Bossier City, LA
- NPI 1982640884
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.