BRYAN P BARRILLEAUX (NPI# 1821080615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821080615 |
| Entity Type | Individual |
| Full Name | BRYAN P BARRILLEAUX |
| Credential | MD |
| Practice Address |
643 S Ryan St Lake Charles LA 70601-5726 |
| Practice Telephone | 3374392000 |
| Practice Fax Number | 3374392025 |
| Mailing Telephone | 3374392000 |
| Mailing Fax Number | 3374392025 |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207P00000X | Emergency Medicine | 017896 | LA | Allopathic & Osteopathic Physicians |
| X | 207R00000X | Internal Medicine | 017896 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | RAILROAD MEDICARE | P00211460 | 01 |
| LA | 1344842 | 05 |
| Street Address |
643 S RYAN ST |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70601-5726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699789529 | St. Luke's Diagnostic Clinic of Lake Charles, L.L.C. | Clinic/Center | 643 S Ryan St, Lake Charles, LA 70601-5726 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833872 | Fresenius Medical Care Sulphur, LLC | Clinic/Center | 330 Chavanne Street, Lake Charles, LA 70601 | 2020-08-24 |
| 1174158844 | Andrea Cormier | Peer Specialist | 751 E Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2020-03-03 |
| 1588297303 | Vivian Claire Miller Monceaux | Chiropractor | 780 Bayou Pines East Drive, Lake Charles, LA 70601 | 2020-02-20 |
| 1568001014 | Swla Center for Health Services | Clinic/Center | 3820 Senator J. Bennett Johnston Ave, Charleston Bldg 8, Lake Charles, LA 70601 | 2020-01-02 |
| 1417512070 | Ryan Nathaniel Vaisler | Student in an Organized Health Care Education/Training Program | 1525 Oak Park Blvd., Lake Charles, LA 70601 | 2019-05-08 |
| 1336600675 | Hoh Palliative Care, LLC | Family Medicine | 750 East Bayou Pines, Suite A, Lake Charles, LA 70601 | 2019-03-28 |
| 1073079026 | Alawrass LLC | Pharmacy | 803 E Prien Lake Rd, Lake Charles, LA 70601 | 2019-02-14 |
| 1861962722 | Ellaweena Woods | Counselor | 1409 Kirkman St., Lake Charles, LA 70601 | 2018-12-04 |
| 1770051963 | Hanna Marie Rodriguez | Counselor | 751 Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2018-11-06 |
| 1023585213 | Shandora Druilhet | Case Manager/Care Coordinator | 751 E Bayou Pines, Lake Charles, LA 70601 | 2018-10-26 |
| Find all providers in zip 70601 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831544535 | Joseph Gallien | Emergency Medicine | 3418 Truman St, Lake Charles, LA 70607-2114 | 2016-04-30 |
| 1881031029 | Ross Hardy | Emergency Medicine | 2350 Longue Vue Dr, Lake Charles, LA 70605-4178 | 2013-05-29 |
| 1700113396 | Edward Shaheen | Emergency Medicine | 524 Michael Debakey Drive, Emergency Department, Lake Charles, LA 70601-5725 | 2009-11-03 |
| 1497938518 | Aaron L Dupree | Emergency Medicine | 1700 Oak Park Blvd, Lake Charles, LA 70601-8911 | 2007-12-12 |
| 1962592493 | Dalmacio S Paraguya | Emergency Medicine | 301 Orchard Dr, Lake Charles, LA 70605-4445 | 2006-10-13 |
| 1497841233 | Stephen P Booker | Emergency Medicine | 708 W Mcnesse St, Lake Charles, LA 70605-0000 | 2006-10-05 |
| 1831290584 | Harold Tillman Shelton | Emergency Medicine | 511 Hodges Street, Lake Charles, LA 70601 | 2006-09-26 |
| 1952345902 | David W Hardey Sr. | Emergency Medicine | 2963 Bordelon, Lake Charles, LA 70611 | 2006-06-16 |
| 1821037383 | Charles Randolph Speights | Emergency Medicine | 1727 Imperial Blvd Bldg 3, Lake Charles, LA 70605-5393 | 2006-06-06 |
| 1356322077 | Jon Harvey Gray | Emergency Medicine | 1701 Oak Park Blvd., Lake Charles, LA 70601 | 2005-11-09 |
| Find all providers in LAKE CHARLES | ||||
| City | LAKE CHARLES |
| Zip Code | 70601 |
Please comment or provide details below to improve the information on BRYAN P BARRILLEAUX.
| 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.