Dr Bryan Wayne Randolph, DPM in Shreveport, LA

Dr Bryan Wayne Randolph, DPM is a medicare enrolled "Podiatrist" provider in Shreveport, Louisiana. He went to Kent State University College Of Podiatric Medicine and graduated in 1998 and has 28 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Christus Trinity Clinic and his current practice location is 1449 E Bert Koun Loop Ste 101, Shreveport, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 681-4282.

Dr Bryan Wayne Randolph is licensed to practice in Louisiana (license number DPM.PD290R) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1649276007.

Contact Information

	Dr Bryan Wayne Randolph, DPM
	1449 E Bert Koun Loop Ste 101, Shreveport, LA 71105-5663
	(318) 681-4282
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Bryan Wayne Randolph
Gender	Male
Speciality	Podiatry
Experience	28 Years
Location	1449 E Bert Koun Loop Ste 101, Shreveport, 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.

Medical Education and Training:

Dr Bryan Wayne Randolph attended and graduated from Kent State University College Of Podiatric Medicine in 1998

NPI Data:

NPI Number: 1649276007
Provider Enumeration Date: 06/21/2005
Last Update Date: 06/17/2025

Medicare PECOS Information:

PECOS PAC ID: 8729116595
Enrollment ID: I20100514000793

Medical Identifiers

Medical identifiers for Dr Bryan Wayne Randolph such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649276007	NPI	-	NPPES
1436127	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213E00000X	Podiatrist	PD290R (Louisiana)	Secondary
213E00000X	Podiatrist	DPM.PD290R (Louisiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Christus Health Shreveport - Bossier	Shreveport, LA	Hospital
Christus St Frances Cabrini Hospital	Alexandria, LA	Hospital
Willis Knighton Medical Center, Inc	Shreveport, LA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Christus Trinity Clinic	3072426741	1246

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Bryan Wayne Randolph allows following entities to bill medicare on his behalf.

Provider Name	Foot Specialists Of Shreveport Apmc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1710079306 PECOS PAC ID: 8224006119 Enrollment ID: O20040920000060

Provider Name	Christus Trinity Clinic
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20200910000388

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Bryan Wayne Randolph is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Bryan Wayne Randolph, DPM 7821 Youree Dr, Shreveport, LA 71105-5505 Ph: (318) 213-3668	Dr Bryan Wayne Randolph, DPM 1449 E Bert Koun Loop Ste 101, Shreveport, LA 71105-5663 Ph: (318) 681-4282

Reviews and Comments

Podiatrist in Shreveport, LA

Southside Foot Clinic Of Shreveport, Inc. A Professional Corporation Podiatrist Medicare: Medicare Enrolled Practice Location: 9308 Mansfield Rd, Ste 100, Shreveport, LA 71118 Phone: 318-687-6266 Fax: 318-683-1023
Dr. Alaye Eldred Whyte, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1718 Kings Hwy, Shreveport, LA 71103 Phone: 318-636-2669 Fax: 318-636-2663
Dr. Frederick Jacques Hall, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 678-640-5685
Dr. Dale Carlton Fazio, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1914 E 70th St, Suite D, Shreveport, LA 71105 Phone: 318-797-3470 Fax: 318-797-9956
Evetta Lavern Borden, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 912-977-0584
Ark La Tex Foot & Ankle Specialists, Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 385 Bert Kouns, Bldg. 200, Shreveport, LA 71106 Phone: 318-687-8447 Fax: 318-687-9950
Dr. Sheila D. Washington, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 510 E Stoner Ave, Shreveport, LA 71101 Phone: 318-221-8411

Dr Bryan Wayne Randolph, DPM - Medicare Podiatrist in Shreveport, LA