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AUDREY BRYCE KORTUM DDS
NPI 1700715281
Dentist in Bogalusa, LA

Active since May 19, 2026PECOS Enrolled
600 SHRINERS DR, BOGALUSA, LA 70427(985) 735-0078 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Audrey Bryce Kortum Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AUDREY BRYCE KORTUM DDS (NPI 1700715281) is an individual dentist in Bogalusa, Louisiana, licensed in Louisiana (7792) and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700715281
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameAUDREY BRYCE KORTUMCredential: DDS
Location Address600 SHRINERS DRBogalusa, LA 70427-2684
Mailing Address5325 Fulvetta Falls RdSlidell, LA 70461-5242 · (501) 786-1297
Phone(985) 735-0078
Sole ProprietorNo
Enumeration DateMay 19, 2026
NPPES CertifiedMay 19, 2026
✔ NPI 1700715281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in LA · 7792
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
600 SHRINERS DR, Bogalusa, LA 70427
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Audrey Bryce Kortum Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70427 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

DR. ANN-MARIE SIMON CHRISTEN DDS
Dentist
600 SHRINERS DR
BOGALUSA, LA 70427
Washington Parish (985) 735-0078

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 Audrey Kortum's NPI number?

The NPI number for Audrey Kortum is 1700715281. It was assigned to this individual provider in the NPPES registry on May 19, 2026.

Where is Audrey Kortum located?

Audrey Kortum practices at 600 Shriners Dr, Bogalusa, LA 70427. The listed phone number is (985) 735-0078.

What is Audrey Kortum's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Audrey Kortum enrolled in Medicare?

Yes. Audrey Kortum is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Audrey Kortum was last updated on May 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.