111 ELLINGTON DR
RAYVILLE, LA 71269-3632 US PECOS Enrolled
Kyle BruyninckX
Internal Medicine Physician
- RAYVILLE, LA
- Phone: (318)-661-0220
- Last Updated 2/9/2021
Overview
Kyle BruyninckX is a Internal Medicine Physician in the RAYVILLE area and has over 16 years of experience. Kyle BruyninckX primary office location is at 111 ELLINGTON DR and new patients are welcome to contact this healthcare provider for an appointment. He attended Louisiana State University School Of Medicine In Shreveport and graduated 2008
Kyle BruyninckX is affiliated with ten hospitals in the RAYVILLE area, including . The NPI number is 1972770378 and the information was updated approximately 3 years ago.
Kyle BruyninckX is affiliated with one medical group in the RAYVILLE area, RICHLAND PARISH HOSPITAL SERVICE DISTRICT NO 1-B.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| MD203484 | LA |
| Type/Issuer | Identifier | State |
|---|---|---|
| MEDICAID | 1052558 | LA |
| Taxonomy | State | Primary? |
|---|---|---|
| Internal Medicine Physician - Taxonomy Code 207R00000X | LA | Y |
| Pediatrician - Taxonomy Code 208000000X | LA | N |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20120907000037 |
| PECOS Individual PAC ID: | 2163670688 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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