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Individual provider Active NPI

Bryan Anthony Picou, M.D

  • Family Medicine Physician
  • Natchitoches, LA
National Provider Identifier
1922003656
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
018282 Issued in LA
Practice address
505 Royal St Ste B
Natchitoches, LA 71457-5728
Phone
(318) 352-2971
Fax
(318) 356-0850
NPI assigned
Jun 17, 2005
Last updated
Dec 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 018282 LA Primary

Addresses

Primary practice location

505 Royal St Ste B
Natchitoches, LA 71457-5728

Mailing address

505 Royal St Ste B
Natchitoches, LA 71457-5728
Phone (318) 352-2971

Other identifiers 2

IdentifierTypeStateIssuer
2101803MedicaidLA
1362794MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091021000616 LA Practitioner - General PracticePractitioner - Family Practice 4284795568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Louisiana State University School of Medicine in New Orleans, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Natchitoches Medical SpecialistsGroup PAC ID 5395889927, 3 clinicians

Practice addresses (Care Compare)

505 Royal St
Suite B
Natchitoches, LA 71457-5728
Phone (318) 352-2971

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue88
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
018282LAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Natchitoches Medical Specialists Family Medicine CurrentSince Dec 28, 2009 Accepting new patients
Natchitoches Medical Specialists CurrentSince Dec 28, 2009 Accepting new patients
Commcare Corporation Past Accepting new patients
Outpatient Medical Center, Inc. Family Medicine Past Accepting new patients

Locations

1029 Keyser Ave
Natchitoches, LA 71457
Phone (318) 238-6001

1029 Keyser Ave
Ste A
Natchitoches, LA 71457
Phone (318) 352-7768

1029 Keyser Ave
Ste G
Natchitoches, LA 71457
Phone (318) 325-2971

505 Royal St
Ste B
Natchitoches, LA 71457
Phone (318) 352-2971

Organizations & group practices 4

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.

Hospital & facility affiliations 32

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1922003656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 ROYAL ST STE B",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714575728",
            "telephone_number": "318-352-2971",
            "fax_number": "318-356-0850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 ROYAL ST STE B",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714575728",
            "telephone_number": "318-352-2971",
            "fax_number": "318-356-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICOU",
        "first_name": "BRYAN",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "018282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2101803",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1362794",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Natchitoches, LA

Sources for this page

Verify at the official NPI Registry.