Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRYAN WAYNE RANDOLPH, D.P.M.
ActiveDR. BRYAN WAYNE RANDOLPH, D.P.M. is a Podiatrist healthcare provider located in SHREVEPORT, Louisiana. NPI 1649276007 is currently active in the NPPES registry. Verify at CMS.
Podiatrist · SHREVEPORT, LA
Registration Details
- NPI Number
- 1649276007
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 21, 2005 (21.124151922755 yrs)
- Last Updated
- Jun 17, 2025
- Licenses
-
PD290R (LA)DPM.PD290R (LA)
Practice Information
- Address
-
1449 E BERT KOUN LOOP STE 101SHREVEPORT, LA, 711055663Browse LA providers · Browse ZIP 71105
- Phone
- 3186814282
- Primary Specialty
-
Podiatrist
213E00000X
- Additional Specialty
- Podiatrist
Other Podiatrist Providers in SHREVEPORT, LA
| Name | Credential | NPI |
|---|---|---|
| DR. JERRY ELBERT TOUPS JR. | D.P.M | 1922004381 |
| DR. DALE CARLTON FAZIO | D.P.M. | 1194723577 |
| DR. CASSELL HUDSON | DPM | 1982698023 |
| STEPHEN EUGENE ERTZ | DPM | 1356321681 |
| MR. ANGELO PAUL MORREALE | DPM | 1447214143 |
| DR. RICHARD TAYLOR HAVENS | DPM | 1285643908 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.