Dr. Bryan Wayne Randolph
D.P.M. | Podiatrist | 27+ years Exp
Medicare Enrolled
1449 E Bert Koun Loop Ste 101, Shreveport
Louisiana, 71105-5663
318-681-4282 Maps & DirectionsDr. Bryan Wayne Randolph is a Shreveport, Louisiana based podiatrist with 27 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 DPM.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: | Podiatry |
| Credentials: | D.P.M. |
| Experience: | 27+ years |
| Medical School Attended: | Kent State University College Of Podiatric Medicine |
| Graduation Year: | 1998 |
| Gender: | Male |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 1449 E Bert Koun Loop Ste 101, Shreveport, Louisiana, 71105-5663 |
| Phone: | 318-681-4282 |
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: | 17 Jun, 2025 |
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 | |
| DPM.PD290R | Podiatry | Louisiana | Primary | |
| PD290R | Podiatry | Louisiana | Secondary | |
Hospital Affiliation:
Doctors 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
1449 E Bert Koun Loop Ste 101, Shreveport, Louisiana or can
call to book an appointment on 318-681-4282.
Comments/ Reviews:
Patients can read all the reviews posted for Dr. Bryan Wayne Randolph below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Dr. Bryan Wayne Randolph. It will help others make informed decisions.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.