Gregory W Bryan, DPM

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

PD067R Issued in LA

Practice address

385 Bert Kouns
BLDG. 200
Shreveport, LA 71106-8158

Phone

(318) 687-8447

Fax

(318) 687-9950

NPI assigned

Mar 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ark la Tex Foot and Ankle Specialists LLCGroup PAC ID 7214931450, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Rapides Regional Medical Center Hospital, Alexandria, LA, CCN 190026
• Willis Knighton Medical Center Hospital, Shreveport, LA, CCN 190111
• Christus Shreveport-Bossier Health System Hospital, Shreveport, LA, CCN 190041

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: gbryan@arklatexfoot.mdlogic.direct-ci.com

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.

• Ark la Tex Foot & Ankle Specialists, LLC

  • Foot & Ankle Surgery Podiatrist
  • Shreveport, LA
  • NPI 1235168311
  Medicare reassignment Care Compare group Authorized official
• Madison Parish Hospital Service District

  • Critical Access Hospital
  • Tallulah, LA
  • NPI 1093834608
  NPD (past)
• Osc Anesthesia, LLC

  • Anesthesiology Physician
  • Lake Charles, LA
  • NPI 1063862340
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Christus Health Northern Louisiana

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1417950106
  Care Compare affiliation
• Rapides Healthcare System, L.L.C.

  • General Acute Care Hospital
  • Alexandria, LA
  • NPI 1477500015
  Care Compare affiliation
• Rapides Healthcare System, LLC

  • Multi-Specialty Clinic/Center
  • Pineville, LA
  • NPI 1083031413

  Hospital

  Care Compare affiliation
• Rapides Healthcare System, LLC

  • Urgent Care Clinic/Center
  • Alexandria, LA
  • NPI 1477970168

  Hospital

  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Bossier City, LA
  • NPI 1003968579
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1124170691
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1275685539
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1568461572
  Care Compare affiliation

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311206400000",
    "number": "1528035888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 BERT KOUNS",
            "address_2": "BLDG. 200",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711068158",
            "telephone_number": "318-687-8447",
            "fax_number": "318-687-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 BERT KOUNS",
            "address_2": "BLDG. 200",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711068158",
            "telephone_number": "318-687-8447",
            "fax_number": "318-687-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "GREGORY",
        "middle_name": "W",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2011-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "LA",
            "license": "PD067R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1382850",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Bruti
• Bryan Vekovius M.D. LLC
• Anne B Bryan, MD
• David D Bryan, MD
• Elizabeth Anne Bryan
• Ashley Bryant
• Courtney Bryant
• Gisele Proby Bryant
• Jacqueline Renee Bryant
• Jazz Jannie Bryant, MHP

• Foot Surgery Podiatrist in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Foot Surgery Podiatrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.