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BRYAN JOHANNES VEKOVIUS M.D. NPI 1285674820


NPI Information

NPI: 1285674820
Provider Name: BRYAN JOHANNES VEKOVIUS, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual

PECOS Registration: Yes

CLIA Number: 19D2220305

Address:
450 ASHLEY RIDGE BLVD
SHREVEPORT, LA
ZIP 71106
Phone: (318) 375-3733
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Bryan Johannes Vekovius, M.D. is a specialist in Shreveport, LA with 28 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Bryan Johannes Vekovius, M.D. NPI is 1285674820. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduation Year:1996

The provider's business location address is:

450 ASHLEY RIDGE BLVD
SHREVEPORT, LA
ZIP 71106-228
Phone: (318) 375-3733
Fax: (318) 675-3734

The NPI 1285674820 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 19D2220305 - physician office with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Eye and medical examination for diagnosis and treatment, established patient (HCPCS:92012)
  • Measurement of field of vision during daylight conditions (HCPCS:92083)
  • Photography of the retina (HCPCS:92250)
  • Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Diagnostic imaging of optic nerve of eye (HCPCS:92133)
  • Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits (HCPCS:92004)
  • Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips (HCPCS:14060)

The enumeration date for this NPI number is 6/8/2006 and was last updated on 5/20/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistL023263LOUISIANAYes
2207WX0200XOphthalmologyOphthalmic Plastic and Reconstructive SurgeryL023263LOUISIANANo
3207WX0109XOphthalmologyNeuro-ophthalmologyL023263LOUISIANANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10238TUOTHERTEXASBLUE CROSS BLUE SHIELD
2180044593OTHERLOUISIANARAILROAD MEDICARE
3154644202OTHERTEXASTEXAS MEDICAID
41495867MEDICAIDLOUISIANA
5170085727OTHERLOUISIANAGROUP NPI #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.