NPIMap

Organization Active NPI

Bryn-Fincher Pulmonary & Critical Care

  • Pulmonary Disease Physician
  • Shreveport, LA
National Provider Identifier
1770683997
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
BRYN-FINCHER PULMONARY & CRITICAL CARE
Practice address
2551 Greenwood Road
Ste 210
Shreveport, LA 71103-3905
Phone
(318) 635-0834
Fax
(318) 636-2331
NPI assigned
Sep 25, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Bonnie P Bryn, RN
Title
Administrator Office Manager
Phone
(318) 635-0834

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X Primary

Addresses

Primary practice location

2551 Greenwood Road
Ste 210
Shreveport, LA 71103-3905

Mailing address

2551 Greenwood Road
Ste 210
Shreveport, LA 71103-3905
Phone (318) 635-0834

Other identifiers 2

IdentifierTypeStateIssuer
14433OtherLABCBS LA
1793761MedicaidLA

Other names 1

  • Pulmonary Disease Clinic Former legal business name

National Provider Directory

National Provider Directory

Locations

2600 Greenwood Rd
Ste 210
Shreveport, LA 71103

Practitioners & affiliated clinicians

Practitioners 36

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770683997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2551 GREENWOOD ROAD",
            "address_2": "STE 210",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033905",
            "telephone_number": "318-635-0834",
            "fax_number": "318-636-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2551 GREENWOOD ROAD",
            "address_2": "STE 210",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711033905",
            "telephone_number": "318-635-0834",
            "fax_number": "318-636-2331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYN-FINCHER PULMONARY & CRITICAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRYN",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "ADMINISTRATOR OFFICE MANAGER",
        "authorized_official_telephone_number": "318-635-0834",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS LA",
            "identifier": "14433",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1793761",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pulmonary Disease Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.