Individual provider · Type 1 NPI

Bryan Wayne Randolph, D.P.M.

Podiatrist · Shreveport, LA

NPI number 1649276007 Active

Practice location

1449 E Bert Koun Loop Ste 101
Shreveport, LA 71105-5663

Mailing address

7821 Youree Dr
Shreveport, LA 71105-5505

Other practice locations

  • 1505 E Bert Kouns Industrial Loop Ste 101, Shreveport, LA 71105-5723 · (318) 681-7480
  • 2703 Beene Blvd, Bossier City, LA 71111-5491 · (318) 681-4515
  • 7821 Youree Dr, Shreveport, LA 71105-5505 · (318) 213-3668

Specialties and licenses

TaxonomyCodeLicense
Podiatrist 213E00000XPD290R (LA)
Podiatrist Primary 213E00000XDPM.PD290R (LA)

Podiatrist: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

6 other providers at this address

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About NPI 1649276007

Bryan Wayne Randolph, D.P.M.'s National Provider Identifier is 1649276007, issued on Jun 21, 2005. The primary taxonomy on file is Podiatrist (213E00000X), and the practice location is in Shreveport, LA. The record was last updated on Jun 17, 2025.