Provider Demographics
NPI:1134681034
Name:CASTEIGNE, BRYCE JOSEPH (MD)
Entity type:Individual
Prefix:
First Name:BRYCE
Middle Name:JOSEPH
Last Name:CASTEIGNE
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 1:726 N ACADIA RD STE 2300
Mailing Address - Street 2:
Mailing Address - City:THIBODAUX
Mailing Address - State:LA
Mailing Address - Zip Code:70301-5078
Mailing Address - Country:US
Mailing Address - Phone:985-493-3090
Mailing Address - Fax:985-493-3091
Practice Address - Street 1:726 N ACADIA RD STE 2300
Practice Address - Street 2:
Practice Address - City:THIBODAUX
Practice Address - State:LA
Practice Address - Zip Code:70301-5078
Practice Address - Country:US
Practice Address - Phone:985-493-3090
Practice Address - Fax:985-493-3091
Is Sole Proprietor?:No
Enumeration Date:2019-04-01
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1629402084N0400X
LA3362162084V0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084V0102XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyVascular Neurology
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology