Bayou Medical LLC

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

BAYOU MEDICAL LLC

Practice address

301 Prairie St
Winnsboro, LA 71295-2732

Phone

(318) 435-4140

Fax

(318) 435-4139

NPI assigned

Apr 1, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Myra Grayson

Title

Office Manager

Phone

(318) 435-4140

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• BAYOU MEDICAL LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roger Dale Grayson II

  • Durable Medical Equipment & Medical Supplies
  • Winnsboro, LA
  • NPI 1992276471
  NPD (past)

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

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1851616809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 PRAIRIE ST",
            "city": "WINNSBORO",
            "state": "LA",
            "postal_code": "712952732",
            "telephone_number": "318-435-4140",
            "fax_number": "318-435-4139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 PRAIRIE ST",
            "city": "WINNSBORO",
            "state": "LA",
            "postal_code": "712952732",
            "telephone_number": "318-435-4140",
            "fax_number": "318-435-4139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYOU MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-01",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "GRAYSON",
        "authorized_official_first_name": "MYRA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "318-435-4140",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2118218",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851616809",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BAYOU MEDICAL LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lawanda Renee Banks, NP-C
• Barbers Connection
• Brittany R Basco, NP
• Gary Baskin Jr., MD
• Elizabeth Nicole Bass, M.S., SLP/CCC
• Bayou Medical Transportation Services,
• Carissa Raine Bendily, SLP
• Alexandra Cooper Berry
• Connor Biglane, PHARMD
• Bio-Medical Applications of Louisiana, LLC

• Oxygen Equipment & Supplies (DME) in Winnsboro, LA
• Providers in Winnsboro, LA by specialty
• Oxygen Equipment & Supplies (DME) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.