Provider Demographics
NPI:1619903739
Name:KRIER, BRIAN PAUL (MD)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:PAUL
Last Name:KRIER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1164
Mailing Address - Street 2:
Mailing Address - City:RAYVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71269-1164
Mailing Address - Country:US
Mailing Address - Phone:318-884-0362
Mailing Address - Fax:888-844-5655
Practice Address - Street 1:990 HIGHWAY 425
Practice Address - Street 2:
Practice Address - City:RAYVILLE
Practice Address - State:LA
Practice Address - Zip Code:71269
Practice Address - Country:US
Practice Address - Phone:318-884-0362
Practice Address - Fax:888-844-5655
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-23
Last Update Date:2011-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA07637R207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1374491Medicaid
LA1374491Medicaid
LA54347Medicare ID - Type Unspecified