Dura Mater, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

018940 Issued in LA

Legal business name

DURA MATER, INC

Practice address

700 Gause Blvd
Suite 201
Slidell, LA 70458-2800

Phone

(985) 690-0135

Fax

(985) 690-0136

NPI assigned

May 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Bryant Gerard George Sr., M.D.

Title

Ceo

Phone

(985) 690-0135

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• bryant g. george, sr. m.d. Doing business as

Locations

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801007307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 GAUSE BLVD",
            "address_2": "SUITE 201",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582800",
            "telephone_number": "985-690-0135",
            "fax_number": "985-690-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 GAUSE BLVD",
            "address_2": "SUITE 201",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582800",
            "telephone_number": "985-690-0135",
            "fax_number": "985-690-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DURA MATER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "BRYANT",
        "authorized_official_middle_name": "GERARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "985-690-0135",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "LA",
            "license": "018940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1378356",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "bryant g. george, sr. m.d.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cac Cac Duong
• Miles Duperon
• Heather Duplessis
• Mariza Jones Duplessis
• Rebecca C Dupuy, RD
• Duramed, Inc
• Alexandra Hohensee Durel, DDS
• Alexis Durel, BCBA
• Searra R Durfee
• Kathryn Lynne Durrett, LPC

• Specialist in Slidell, LA
• Providers in Slidell, LA by specialty
• Specialist in Louisiana

• 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.