Individual provider Active NPI

Washington G. B. Bryan Sr., M.D.

  • Obstetrics Physician
  • New Orleans, LA
National Provider Identifier
1700842564
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
MD05226R Issued in LA
Practice address
3720 Prytania St
New Orleans, LA 70115-3733
Phone
(504) 891-3711
Fax
(504) 891-6353
NPI assigned
Apr 21, 2006
Last updated
Jan 17, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X MD05226R LA
Obstetrics Physician 207VX0000X MD05226R LA Primary

Addresses

Primary practice location

3720 Prytania St
New Orleans, LA 70115-3733

Mailing address

1 Island Club CT
New Orleans, LA 70131-3372
Phone (504) 392-8107

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
I20110315000650 LA Practitioner - Obstetrics/Gynecology 5193907939 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD05226RLAMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington G. B. Bryan LTD Gynecology CurrentSince Jul 15, 1985 Accepting new patients
Valencia Malveaux, LLC Past Accepting new patients

Locations

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

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200528000000",
    "number": "1700842564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ISLAND CLUB CT",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701313372",
            "telephone_number": "504-392-8107",
            "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": {
        "last_name": "BRYAN",
        "first_name": "WASHINGTON",
        "middle_name": "G. B.",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2008-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "LA",
            "license": "MD05226R",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "LA",
            "license": "MD05226R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.