Individual
BRYAN P BARRILLEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
643 S RYAN ST, LAKE CHARLES, LA 70601-5726
(337) 439-2000
(337) 439-2025
Mailing address
643 S RYAN ST, LAKE CHARLES, LA 70601-5726
(337) 439-2000
(337) 439-2025
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
017896
LA
207R00000X
Internal Medicine Physician
017896
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1344842
—
LA
01
—
P00211460
RAILROAD MEDICARE
LA
Enumeration date
08/17/2005
Last updated
09/11/2025
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