| Dr Brady Guillory Llc | |
|
600 Bayard St New Iberia LA 70560-5734 | |
| (337) 365-3441 | |
| Not Available |
| Full Name | Dr Brady Guillory Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 600 Bayard St, New Iberia, Louisiana |
| Authorized Official Name and Position | Brady K Guillory (MD/SOLE OWNER) |
| Authorized Official Contact | 3373563545 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brady Guillory Llc 310 Torrenova Cir Lafayette LA 70508-1835 Ph: (337) 356-3545 | Dr Brady Guillory Llc 600 Bayard St New Iberia LA 70560-5734 Ph: (337) 365-3441 |
| NPI Number | 1972231066 |
|---|---|
| Provider Enumeration Date | 08/08/2022 |
| Last Update Date | 09/08/2022 |
| Medicare PECOS PAC ID | 6103209226 |
|---|---|
| Medicare Enrollment ID | O20220822002915 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972231066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Brady K Guillory |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447496005 PECOS PAC ID: 1456323336 Enrollment ID: I20121009000046 |
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