Organization Active NPI

Washington G. B. Bryan LTD

  • Gynecology Physician
  • New Orleans, LA
National Provider Identifier
1457537938
Registry record updated Jan 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
MD.05226R Issued in LA
Legal business name
WASHINGTON G. B. BRYAN LTD
Practice address
3720 Prytania St
New Orleans, LA 70115-3733
Phone
(504) 891-3711
Fax
(504) 891-6353
NPI assigned
Jan 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2011

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

Authorized official

Name
Dr. Washington G. B. Bryan Sr., M.D.NPI 1700842564
Title
Ceo
Phone
(504) 891-3711

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X MD.05226R LA Primary

Addresses

Primary practice location

3720 Prytania St
New Orleans, LA 70115-3733

Mailing address

3720 Prytania St
New Orleans, LA 70115-3733
Phone (504) 891-3711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110315000581 LA Part B Supplier - Clinic/Group Practice 3678755402 Receives reassigned benefits from 3 practitioners
Practice locations: Gretna, LA; New Orleans, LA

National Provider Directory

National Provider Directory

Locations

3720 Prytania St
New Orleans, LA 70115
Phone (504) 891-3711

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296086400000",
    "number": "1457537938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 PRYTANIA ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153733",
            "telephone_number": "504-891-3711",
            "fax_number": "504-891-6353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 PRYTANIA ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153733",
            "telephone_number": "504-891-3711",
            "fax_number": "504-891-6353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON G. B. BRYAN LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-15",
        "last_updated": "2011-01-27",
        "status": "A",
        "authorized_official_last_name": "BRYAN",
        "authorized_official_first_name": "WASHINGTON",
        "authorized_official_middle_name": "G. B.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "504-891-3711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "LA",
            "license": "MD.05226R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.