DR. GARY BERNARD MAZZANTI M.D. NPI 1174629299

NPI Information

  • NPI: 1174629299
  • Provider Name: DR. GARY BERNARD MAZZANTI, M.D.
  • Classification: Emergency Medicine - 207PE0005X
  • Specialization: Undersea and Hyperbaric Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 701 JORDAN ST
    SUITE A
    SHREVEPORT, LA
    ZIP 71101
  • Phone: (318) 221-6700

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NPI Details

DR. Gary Bernard Mazzanti, M.D. is an undersea and hyperbaric medicine emergency medicine in Shreveport, LA with 40 years of experience. The provider is a specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns, and bone infections. This specialist also serves as a consultant to other physicians in all aspects of hyperbaric chamber operations, and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions. DR. Gary Bernard Mazzanti, M.D. NPI is 1174629299. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduation Year:1986

The provider's business location address is:

701 JORDAN ST
SUITE A
SHREVEPORT, LA
ZIP 71101-660
Phone: (318) 221-6700
Fax: (318) 221-6701

The NPI 1174629299 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 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.

  • Application of electrical stimulation with therapist present, each 15 minutes (HCPCS:97032)
  • Treatment of inflammatory skin disease using laser, less than 250.0 sq cm (HCPCS:96920)
  • Removal of muscle and/or tissue, 20.0 sq cm or less (HCPCS:11043)
  • Application of vein wound compression bandages on lower leg, ankle, and foot (HCPCS:29581)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)

The enumeration date for this NPI number is 9/16/2006 and was last updated on 12/1/2009.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineMD020779LOUISIANANo
2207PE0005XEmergency MedicineUndersea and Hyperbaric MedicineMD020779LOUISIANAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11399256MEDICAIDLOUISIANA
25H633MEDICARE ID-TYPE UNSPECIFIEDLOUISIANA
3E38105MEDICARE UPINLOUISIANA

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: 11/21/2025

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