MR. BRYANT ANTHONY ACOSTA


Address: 609 W Court St Ste B, Winnfield, LA 71483-2686
Phone: 3182094646

MR. BRYANT ANTHONY ACOSTA (NPI# 1952445249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952445249
Entity Type Individual
Full Name MR. BRYANT ANTHONY ACOSTA
Credential PA-C
Practice Address 609 W Court St Ste B
Winnfield
LA 71483-2686
Mailing Address 431 W Lafayette St
Winnfield
LA 71483-3463
Practice Telephone 3182094646
Practice Fax Number 3182094649
Mailing Telephone (318) 648-0375
Mailing Fax Number 3186480378
Enumeration Date 2007-02-19
Last Update Date 2017-06-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 146L00000X Emergency Medical Technician, Paramedic PO835285 LA Emergency Medical Service Providers
Y 363AM0700X Physician Assistant
Specialization: Medical
PA.A10303.RX LA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
LA 1452602 05

Office Location

Street Address 609 W COURT ST STE B
City WINNFIELD
State LA
Zip Code 71483-2686

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811436058 Clhg-winn, LLC Clinic/Center 609 W Court St Ste B, Winnfield, LA 71483-2686 2017-02-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1871732487 Rosalie Cascabel Buraga Physical Therapist 915 1st Street, Therapy Dept. Winnfield Nursing and Rehab. Center, Winnfield, LA 71483 2009-02-05
1568614311 Winn Association for Retarded Citizens Day Training, Developmentally Disabled Services 1006 South Jones St., Winnfield, LA 71483 2008-10-10
1245402619 Jerry W Williams Od Durable Medical Equipment & Medical Supplies 1605 West Court St, Winnfield, LA 71483 2008-03-26
1295926418 Gentle Care Sitting Service Home Health 1701 West Court St, Winnfield, LA 71483 2007-08-05
1427253046 Winn Association for Retarded Citizens, Inc. Day Training, Developmentally Disabled Services 1006 S Jones St, Winnfield, LA 71483 2007-06-15
1548386162 Central Management Company, LLC Skilled Nursing Facility 9258 Highway 84 West, Winnfield, LA 71483 2007-03-22
1386796944 Hope Hospice, Inc Hospice Care, Community Based 100 South Magnolia Street, Winnfield, LA 71483 2007-01-16
1356413025 Mco of Louisiana Inc Durable Medical Equipment & Medical Supplies 430 West South Street, Winnfield, LA 71483 2006-11-15
1942397666 Court House Pharmacy Pharmacy 104 S Jones St, Winnfield, LA 71483 2006-10-06
1386746733 Randolph Layne Williams Family Medicine 1405 W Court St, Winnfield, LA 71483 2006-09-05
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

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1972118776 Emma W Bollich Physician Assistant 6703 Ambassador Caffery Pkwy Ste 2, Broussard, LA 70518-5283 2020-09-09
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1861058752 Christina Daigle Physician Assistant 1057 Paul Maillard Rd Ste 2210, Luling, LA 70070-4349 2019-05-15
1376078022 Brian Ammon Physician Assistant 11831 Oakwilde Ave, Baton Rouge, LA 70810-3120 2017-05-01
1912448036 Christy Stoltz Physician Assistant 120 N Pinaud St, Saint Martinville, LA 70582-4732 2017-03-09
1790228013 Brian Keith Fontenot Physician Assistant 2751 Albert L Bicknell Dr Ste 5c, Shreveport, LA 71103-3943 2016-11-18
1932658002 Taylor Christensen Mahtook Physician Assistant 4650 Ambassador Caffery Pkwy Ste 101, Lafayette, LA 70508-6926 2016-09-29
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Competitor

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City WINNFIELD
Zip Code 71483

Improve Information

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Dataset Information

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.

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