| Kyle Bruyninckx, MD | |
|
111 Ellington Dr, Rayville, LA 71269-3632 | |
| (318) 661-0220 | |
| Not Available |
| Full Name | Kyle Bruyninckx |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 18 Years |
| Location | 111 Ellington Dr, Rayville, Louisiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972770378 | NPI | - | NPPES |
| 1052558 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD203484 (Louisiana) | Primary |
| 208000000X | Pediatrics | MD203484 (Louisiana) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mangham Home Care, Inc. | Mangham, LA | Home health agency |
| Elara Caring | Monroe, LA | Home health agency |
| Primestar Home Health Inc | Tallulah, LA | Home health agency |
| Elara Caring | Winnsboro, LA | Home health agency |
| Trucare Home Health, Llc | Monroe, LA | Home health agency |
| Richardson Medical Center | Rayville, LA | Hospital |
| Franklin Medical Center | Winnsboro, LA | Hospital |
| St Francis Medical Center | Monroe, LA | Hospital |
| Richland Parish Hospital-delhi | Delhi, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bruyninckx Medical Llc | 2860807419 | 2 |
| Entity Name | Richland Parish Hospital Service District No 1-b |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255370144 PECOS PAC ID: 2163481599 Enrollment ID: O20041011000012 |
| Entity Name | Richland Parish Hospital Service District No 1-b |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043368392 PECOS PAC ID: 2163481599 Enrollment ID: O20041011000019 |
| Entity Name | Affinity Health Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023291226 PECOS PAC ID: 9335226547 Enrollment ID: O20080411000088 |
| Entity Name | Bruyninckx Medical Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700481660 PECOS PAC ID: 2860807419 Enrollment ID: O20210212001773 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle Bruyninckx, MD 117 Ellington Dr, Rayville, LA 71269-3632 Ph: (318) 376-2189 | Kyle Bruyninckx, MD 111 Ellington Dr, Rayville, LA 71269-3632 Ph: (318) 661-0220 |