Dr. Bryan Wayne Randolph is a Shreveport, Louisiana based male podiatrist with 26 years of experience in Podiatry. He completed his graduation from Kent State University College Of Podiatric Medicine in 1998. He is also affiliated with hospitals like Willis Knighton Medical Center, Inc and Christus Health Shreveport - Bossier. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Bryan Wayne Randolph for Podiatry is PD290R in Louisiana. Dr. Bryan Wayne Randolph is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Dr. Bryan Wayne Randolph speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist
Credentials:
D.P.M.
Experience:
26+ years
Medical School Attended:
Kent State University College Of Podiatric Medicine
Graduation Year:
1998
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
7821 Youree Dr, Shreveport, Louisiana, 71105-5505
Phone:
318-213-3668
Fax:
318-213-3670
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
8729116595
Enrollment ID:
I20100514000793
NPI Number:
1649276007
NPI Enumeration Date:
21 Jun, 2005
NPI Last Update On:
02 Jul, 2024
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Bryan Wayne Randolph are as mentioned below.
License Number
Specialization
State
Status
PD290R
Podiatry
Louisiana
Primary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Willis Knighton Medical Center, Inc (190111)
Shreveport, LA
Acute Care Hospital
Christus Health Shreveport - Bossier (190041)
Shreveport, LA
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Bryan Wayne Randolph is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Foot Specialists Of Shreveport Apmc (8224006119)
3
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Bryan Wayne Randolph such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1436127
Medicaid
Louisiana
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
7821 Youree Dr, Shreveport, Louisiana
Zip:
71105-5505
Phone Number:
318-213-3668
Fax Number:
318-213-3670
Patients can reach Dr. Bryan Wayne Randolph at 7821 Youree Dr, Shreveport, Louisiana or can call to book an appointment on 318-213-3668. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.