BRUYNINCKX MEDICAL LLC
NPI 1700481660
Internal Medicine in Rayville, LA
About Bruyninckx Medical Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRUYNINCKX MEDICAL LLC (NPI 1700481660) is a healthcare organization registered as an internal medicine in Rayville, Louisiana and active in the NPI registry since November 2020. The organization holds an CLIA Accreditation certificate valid through August 1, 2028 and lists Kyle Bruyninckx, Md, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bruyninckx Medical Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Bruyninckx Medical LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Accreditation 19D2207754
Bruyninckx Medical Clinic · Rayville, LAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Bruyninckx Medical LLC's NPI number?
The NPI number for Bruyninckx Medical LLC is 1700481660. It was assigned to this organization in the NPPES registry on November 30, 2020.
Where is Bruyninckx Medical LLC located?
Bruyninckx Medical LLC is located at 117 Ellington Dr, Rayville, LA 71269. The listed phone number is (318) 376-2189.
What is Bruyninckx Medical LLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Bruyninckx Medical LLC enrolled in Medicare?
Yes. Bruyninckx Medical LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bruyninckx Medical LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Bruyninckx Medical LLC, in Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Bruyninckx Medical LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Accreditation (number 19D2207754) is associated with this NPI, valid through August 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Bruyninckx Medical LLC accept?
Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Bruyninckx Medical LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Bruyninckx Medical LLC was last updated on June 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Bruyninckx Medical Llc · NPI 1700481660
Internal Medicine organization in Rayville, Louisiana. Organization record, active in the CMS NPPES registry since November 30, 2020.
## Identity
- **NPI:** 1700481660 (Entity type: Organization)
- **Enumerated:** November 30, 2020
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Kyle Bruyninckx, MD
## Practice location
- **Address:** 117 ELLINGTON DR, Rayville, LA 71269-3632
- **Phone:** (318) 376-2189
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (1), Nurse Practitioner (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 17, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1700481660) · Data from the CMS NPPES public registry.