Bryn, Randy D

Bryn, Randy D is an individual health care provider with primary practice located at 2551 Greenwood Rd Ste 210, Shreveport LA 71103-3905. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Bryn, Randy D can be contacted via phone (318) 635-0834.

Contact Information

Primary practice address
2551 Greenwood Rd Ste 210 Shreveport LA 71103-3905
Fax: (318) 636-2331
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 03907R Louisiana

Profile Details

NPI number 1851497275
LBN Legal business name Bryn, Randy D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Jun 21st, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851497275 NPPES
Louisiana MEDICAID 1311189
Louisiana Other 290003340

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