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:
Health care specialties
| Specialty | Code | License # | 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 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528035888 | NPPES |
| Louisiana | MEDICAID | 1382850 |
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