Bryan, Gregory W

Bryan, Gregory W is an individual health care provider with primary practice located at 385 Bert Kouns Bldg. 200, Shreveport LA 71106-8158. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Bryan, Gregory W can be contacted via phone (318) 687-8447.

Contact Information

Primary practice address
385 Bert Kouns Bldg. 200 Shreveport LA 71106-8158
Phone: (318) 687-8447
Fax: (318) 687-9950
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X PD067R Louisiana

Profile Details

NPI number 1528035888
LBN Legal business name Bryan, Gregory W
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Jul 21st, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1528035888 NPPES
Louisiana MEDICAID 1382850

Popular Providers