Individual provider Active NPI

Brady Kirk Guillory, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Lafayette, LA
National Provider Identifier
1447496005
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
MD.205536 Issued in LA
Practice address
1214 Coolidge Blvd
Lafayette, LA 70503-2621
Phone
(337) 289-7991
NPI assigned
Dec 31, 2008
Last updated
Sep 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD.205536 LA
Hospitalist Physician 208M00000X MD.205536 LA
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X MD.205536 LA Primary

Addresses

Primary practice location

1214 Coolidge Blvd
Lafayette, LA 70503-2621

Mailing address

219 Lakeside Dr
Lafayette, LA 70508-7045
Phone (337) 356-3545

Other identifiers 1

IdentifierTypeStateIssuer
1941701MedicaidLA

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
I20121009000046 LA Practitioner - Internal Medicine 1456323336 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lafayette Health Ventures IncGroup PAC ID 9335043074, 299 clinicians

Practice addresses (Care Compare)

116 A Hospital Dr
Lafayette, LA 70503-2819
Phone (337) 703-3390

1211 Coolidge Blvd
Suite 404
Lafayette, LA 70503-2638
Phone (337) 247-9715

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.63 of 100Reported as group
Quality
68.93
Improvement activities
40
Cost
79.13

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette General Medical Center Inc. CurrentSince Feb 1, 2021 Accepting new patients
Lafayette Health Ventures Inc CurrentSince Nov 1, 2025 Accepting new patients
Lafayette General Medical Center Inc CurrentSince Feb 1, 2021 Accepting new patients
St Martin Physician Services LLC Hospitalist CurrentSince Jul 29, 2019 Accepting new patients
Lafayette General Medical Center Inc. Current Accepting new patients
Lafayette Health Ventures, Inc Internal Medicine CurrentSince Nov 1, 2025 Accepting new patients
Dr Brady Guillory LLC Internal Medicine CurrentSince Aug 1, 2022 Accepting new patients
Lafayette Health Ventures, Inc Internal Medicine Past Accepting new patients
Nexion Health at New Iberia South, Inc. Past Accepting new patients
Franklin Practice, LLC PastSince Jan 1, 1990 Accepting new patients

Locations

210 Champagne Blvd
Breaux Bridge, LA 70517
Phone (337) 332-2178

116B Hospital Dr
Lafayette, LA 70503
Phone (337) 234-0630

1211 Coolidge Blvd
Ste 404
Lafayette, LA 70503
Phone (337) 247-9715

1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191

4212 W Congress St
Ste 3100
Lafayette, LA 70506
Phone (337) 703-3201

600 Bayard St
New Iberia, LA 70560
Phone (337) 365-3441

Interoperability endpoints

  • Direct secure messaging: bguillory11918@direct.ochsner.org

Organizations & group practices 11

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 2

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": "1230681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1447496005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 LAKESIDE DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087045",
            "telephone_number": "337-356-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 COOLIDGE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032621",
            "telephone_number": "337-289-7991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILLORY",
        "first_name": "BRADY",
        "middle_name": "KIRK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-31",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD.205536",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "LA",
            "license": "MD.205536",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "LA",
            "license": "MD.205536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1941701",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.