Organization Active NPI

Bayou Kidney Care LLC

Doing business as Bayou Kidney Care

  • Nephrology Physician
  • Lafayette, LA
National Provider Identifier
1972464162
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
BAYOU KIDNEY CARE LLC
Doing business as
Bayou Kidney Care
Practice address
200 Medalist Ave
Lafayette, LA 70506-7503
Phone
(561) 715-7455
NPI assigned
Nov 19, 2025
Last updated
Nov 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Authorized official

Name
Bryee Shepard, RDNPI 1326517012
Title
Member
Phone
(561) 715-7455

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

200 Medalist Ave
Lafayette, LA 70506-7503

Mailing address

200 Medalist Ave
Lafayette, LA 70506-7503
Phone (561) 715-7455

Other names 1

  • Bayou Kidney Care Doing business as

National Provider Directory

National Provider Directory

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": "1763510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763510400000",
    "number": "1972464162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MEDALIST AVE",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705067503",
            "telephone_number": "561-715-7455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDALIST AVE",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705067503",
            "telephone_number": "561-715-7455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYOU KIDNEY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-19",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "SHEPARD",
        "authorized_official_first_name": "BRYEE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "561-715-7455",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayou Kidney Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; 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.