Individual provider Active NPI

Susan J Bryant, MD

  • Pain Medicine Physician
  • Metairie, LA
National Provider Identifier
1609842947
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
021783 Issued in LA
Practice address
3434 Houma Blvd Ste 301
Metairie, LA 70006-4201
Phone
(504) 635-2601
Fax
(504) 324-2078
NPI assigned
Feb 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 021783 LA
Pain Medicine Physician 208VP0000X 021783 LA Primary

Addresses

Primary practice location

3434 Houma Blvd Ste 301
Metairie, LA 70006-4201

Mailing address

29301 N Dixie Ranch Rd
Lacombe, LA 70445
Phone (985) 871-4114

Other practice location 1

29301 N Dixie Ranch Rd
Lacombe, LA 70445
Phone (985) 871-4114

Other identifiers 1

IdentifierTypeStateIssuer
1691496MedicaidLA

Other names 1

  • Susan Jeanine Bryant Former name

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
I20031206000082 LA Practitioner - Physical Medicine and RehabilitationPractitioner - Orthopedic Surgery 9133024680 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Louisiana Pain Specialists LLCGroup PAC ID 8820124217, 7 clinicians

Practice addresses (Care Compare)

231 W Esplanade Ave
Suite B
Kenner, LA 70065-2580
Phone (504) 909-2909

29301 N Dixie Ranch Rd
Lacombe, LA 70445-5403
Phone (985) 871-4114

Hospital & facility affiliations

  • Slidell Memorial Hospital Hospital, Slidell, LA, CCN 190040
  • St Tammany Parish Hospital Hospital, Covington, LA, CCN 190045

Merit-based Incentive Payment System (MIPS)

Final score
89.9 of 100Reported as group
Quality
67.84
Promoting interoperability
86
Improvement activities
40
Cost
86.16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
021783LAMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana Pain Specialists, LLC CurrentSince Nov 1, 2019 Accepting new patients
Louisiana Pain Specialists, LLC Pain Medicine CurrentSince Nov 1, 2019 Accepting new patients
Dietze & Logan Spine Specialist, LLC CurrentSince Mar 4, 2017 Accepting new patients
The North Institute, Apmc Past Accepting new patients

Locations

231 W Esplanade Ave
Ste B
Kenner, LA 70065
Phone (504) 459-4070

29301 N Dixie Ranch Rd
Lacombe, LA 70445
Phone (985) 871-4114

4520 Wichers Dr
Ste 205
Marrero, LA 70072
Phone (504) 459-4070

2706 Hessmer Ave
Ste A
Metairie, LA 70002
Phone (504) 635-2601

3434 Houma Blvd
Ste 301
Metairie, LA 70006
Phone (504) 309-6500

3439 Prytania St
Ste 501
New Orleans, LA 70115
Phone (504) 535-7212

Interoperability endpoints

  • Direct secure messaging: susan.bryant@1482.securemail.prognocis.com

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1609842947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29301 N DIXIE RANCH RD",
            "city": "LACOMBE",
            "state": "LA",
            "postal_code": "70445",
            "telephone_number": "985-871-4114",
            "fax_number": "985-871-4130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 HOUMA BLVD STE 301",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700064201",
            "telephone_number": "504-635-2601",
            "fax_number": "504-324-2078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29301 N Dixie Ranch Rd",
            "address_purpose": "LOCATION",
            "city": "Lacombe",
            "state": "LA",
            "postal_code": "70445",
            "country_code": "US",
            "telephone_number": "985-871-4114",
            "fax_number": "985-871-4130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "SUSAN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-27",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "LA",
            "license": "021783",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "LA",
            "license": "021783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1691496",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "BRYANT",
            "middle_name": "JEANINE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.