BRUYNINCKX MEDICAL LLC
NPI 1700481660
Internal Medicine in Rayville, LA

Active since November 30, 2020
117 ELLINGTON DR, RAYVILLE, LA 71269(318) 376-2189 Get Directions Write a Review

NPPES record last updated: June 17, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 17, 2024, Nov 30, 2020 (2 updates tracked since 2020).

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 lists Kyle Bruyninckx, Md, as its authorized official.

NPPES Registry Identity

NPI1700481660
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBRUYNINCKX MEDICAL LLC
Location Address117 ELLINGTON DRRayville, LA 71269-3632
Mailing Address117 Ellington DrRayville, LA 71269-3632 · (318) 376-2189
Organization SubpartNo
Authorized OfficialKyle BruyninckxMd · (318) 376-2189
Enumeration DateNovember 30, 2020
Last NPPES UpdateJune 17, 20242 updates tracked since enumeration
NPPES CertifiedJune 17, 2024
NPI 1700481660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X
117 ELLINGTON DR, Rayville, LA 71269

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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, LA
Expired · Aug 1, 2026
CLIA Number19D2207754
Laboratory TypePhysician Office
Certificate Effective DateAugust 2, 2024
Certificate Expiration DateAugust 1, 2026
Laboratory DirectorDr. Kyle Bruyninckx
Laboratory Phone(318) 728-0281
Laboratory LocationBruyninckx Medical Clinic117 Ellington Drive, Rayville, LA 71269
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
117 ELLINGTON DR
RAYVILLE, LA 71269
Nurse Practitioner (Family)
117 ELLINGTON DR
RAYVILLE, LA 71269

Frequently 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.

What insurance does Bruyninckx Medical LLC accept?

Health plans from 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.