DR. BRYAN CROSS (NPI# 1245640291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245640291 |
| Entity Type | Individual |
| Full Name | DR. BRYAN CROSS |
| Credential | D.O. |
| Practice Address |
2495 Shreveport Hwy (va Medical Center) Mail Code 112 Pineville LA 71360 |
| Practice Telephone | 3184664034 |
| Practice Fax Number | 5753971012 |
| Mailing Telephone | 3184664034 |
| Mailing Fax Number | 5753971012 |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2020-06-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208C00000X | Colon & Rectal Surgery | A-2048-17 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 000B4739 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3660 Guion Rd, Suite 330- Bethesda Colon and Rectal, Indianapolis, IN 462221697 | 3179231033 | 3176445051 |
| Street Address |
2495 SHREVEPORT HWY (VA MEDICAL CENTER) MAIL CODE 112 |
| City | PINEVILLE |
| State | LA |
| Zip Code | 71360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578110789 | Reneisha Armonii Roberts | Pharmacist | 3100 La-28, Pineville, LA 71360 | 2019-08-22 |
| 1396303145 | Tina Marie Lawhorn | Nurse Practitioner | 2945 Shreveport Hwy, Pineville, LA 71360 | 2019-06-05 |
| 1942773213 | Tioga Pharmacy LLC | Pharmacy | 5101 Shreveport Hwy, Pineville, LA 71360 | 2019-01-09 |
| 1649755497 | Jessica Wooten | Nurse Practitioner | 292 Jerry Lofton Rd, Pineville, LA 71360 | 2018-09-27 |
| 1215421995 | Elizabeth Simon-clark | Counselor | Central La State Hospital Unit 6 Meadows Lane, Pineville, LA 71360 | 2018-06-18 |
| 1982116497 | Dm Properties of Rapides, LLC | Radiology | 2705 Highway 28 E Ste B, Pineville, LA 71360 | 2017-10-25 |
| 1508384587 | Marion Patrick Hazelton I | Counselor | Pathways Red River Treatment Center, 242 West Shamrock Ave Unit 6 Melody Lane, Pineville, LA 71360 | 2017-08-30 |
| 1669902557 | Jessica Williams | Social Worker | Unit 6 Wing A Meadow Lane, Pineville, LA 71360 | 2017-06-14 |
| 1104365840 | Naomi Gates | Social Worker | 242 W Shamrock Unit 1, Pineville, LA 71360 | 2017-02-14 |
| 1861930224 | Sharon Humphrey | Counselor | 5400 Service Rd B206, Pineville, LA 71360 | 2017-02-06 |
| Find all providers in zip 71360 | ||||
| Taxonomy Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205124955 | Matthew B. Boudreaux, M.d., L.L.C. | Colon & Rectal Surgery | 1103 W University Ave, Lafayette, LA 70506-3462 | 2011-07-15 |
| 1962792291 | Matthew David Zelhart | Colon & Rectal Surgery | 3100 Galleria Dr Ste 303, Metairie, LA 70001-2196 | 2011-04-07 |
| 1487970778 | Chad E Lewis Md A Professional Medical Corporation | Colon & Rectal Surgery | 812 Broadway St., Minden, LA 71055-3330 | 2010-04-13 |
| 1003859141 | Andrew M Werner | Colon & Rectal Surgery | 1811 E Bert Kouns Ste 430, Shreveport, LA 71105 | 2006-06-14 |
| 1881659761 | Jeffrey F Griffin | Colon & Rectal Surgery | 3100 Galleria Dr, Ste 303, Metairie, LA 70001-2196 | 2006-04-20 |
| 1740284454 | Kenneth J. Champagne | Colon & Rectal Surgery | 102 Drury Ln, Lafayette, LA 70508-5702 | 2005-06-09 |
| 1548784523 | Bradley P Champagne, Md, LLC | Colon & Rectal Surgery | 102 Drury Ln, Lafayette, LA 70508-5702 | 2017-08-01 |
| 1598185118 | Elyse Bevier-rawls | Colon & Rectal Surgery | 1542 Tulane Ave Rm 734, New Orleans, LA 70112-2865 | 2014-04-22 |
| 1093070476 | Michael F Horaist, M.d. LLC | Colon & Rectal Surgery | 1103 W University Ave, Lafayette, LA 70506-3462 | 2012-07-11 |
| 1578858288 | Bradley Paul Champagne | Colon & Rectal Surgery | 102 Drury Ln, Lafayette, LA 70508-5702 | 2011-06-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.