Organization Active NPI

Bryan a Picou Et Al PTR

Doing business as Family Medical Clinic

  • Family Medicine Physician
  • Natchitoches, LA
National Provider Identifier
1962574111
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BRYAN A PICOU ET AL PTR
Doing business as
Family Medical Clinic
Practice address
740 Keyser Ave
Suite a
Natchitoches, LA 71457-6037
Phone
(318) 352-2971
NPI assigned
Nov 14, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Bryan Anthony Picou, MD
Title
Owner
Phone
(318) 352-2971

Specialties & licenses 1

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

Addresses

Primary practice location

740 Keyser Ave
Suite a
Natchitoches, LA 71457-6037

Mailing address

740 Keyser Ave
Suite a
Natchitoches, LA 71457-6037
Phone (318) 352-2971

Other identifiers 1

IdentifierTypeStateIssuer
1001236MedicaidLA

Other names 1

  • Family Medical Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

740 Keyser Ave
Ste A
Natchitoches, LA 71457
Phone (318) 352-2971

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1962574111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 KEYSER AVE",
            "address_2": "SUITE A",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714576037",
            "telephone_number": "318-352-2971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 KEYSER AVE",
            "address_2": "SUITE A",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714576037",
            "telephone_number": "318-352-2971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN A PICOU ET AL PTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PICOU",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-352-2971",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1001236",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Natchitoches, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.