Audrey Bryce Kortum, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

7792 Issued in LA

Practice address

600 Shriners Dr
Bogalusa, LA 70427-2684

Phone

(985) 735-0078

NPI assigned

May 19, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1779148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1700715281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5325 FULVETTA FALLS RD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704615242",
            "telephone_number": "501-786-1297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SHRINERS DR",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704272684",
            "telephone_number": "985-735-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORTUM",
        "first_name": "AUDREY",
        "middle_name": "BRYCE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-19",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "7792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Klein, NCC, LPC
• Fredro Collins Knight Jr., MD
• Haley Knight
• Mary Elizabeth T. Knight, R.D., L.D.N.
• Russell Knight
• Julia Miller Kreger
• William L Kuhn Jr., CRNA
• Ladner Caregivers, LLC
• Maurine T Ladner, PH.D., MP
• Myrtis Ladner

• Dentist in Bogalusa, LA
• Providers in Bogalusa, LA by specialty
• Dentist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.

Verify at the official NPI Registry.