Organization Active NPI

Dr Brady Guillory LLC

  • Internal Medicine Physician
  • New Iberia, LA
National Provider Identifier
1972231066
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DR BRADY GUILLORY LLC
Practice address
600 Bayard St
New Iberia, LA 70560-5734
Phone
(337) 365-3441
NPI assigned
Aug 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Authorized official

Name
Brady K Guillory, MDNPI 1447496005
Title
MD/Sole Owner
Phone
(337) 356-3545

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

600 Bayard St
New Iberia, LA 70560-5734

Mailing address

219 Lakeside Dr
Lafayette, LA 70508-7045
Phone (337) 356-3545

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1972231066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 LAKESIDE DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087045",
            "telephone_number": "337-356-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 BAYARD ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705605734",
            "telephone_number": "337-365-3441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR BRADY GUILLORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-08",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "GUILLORY",
        "authorized_official_first_name": "BRADY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MD/SOLE OWNER",
        "authorized_official_telephone_number": "337-356-3545",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Iberia, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.