Bryan Wayne Randolph, D.P.M.
NPI 1649276007ActiveIndividual· Podiatrist· Shreveport, LA
Podiatrist (D.P.M.) in Shreveport, Louisiana, trained at Kent State University College of Podiatric Medicine (class of 1998). 624 Medicare patients in 2024, $102,717 paid; nearly all of their 896 Part D prescriptions were generic (98%). Mimedx Group, Inc. was the largest of 6 companies reporting payments in 2025, $862.34 in all, mostly food and beverage.
Overview
| NPI | 1649276007 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.P.M. |
| Sole proprietor | No |
| NPI issued | Jun 21, 2005 |
| Last updated in NPPES | Jun 17, 2025 |
| Certified by provider | Jun 17, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X | DPM.PD290R | LA |
| Podiatrist | 213E00000X | PD290R | LA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Podiatry (LA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 624 |
|---|---|
| Services billed | 2,678 across 75 procedure codes |
| Paid by Medicare | $102,717 |
Part D prescriptions in 2024
| Prescriptions (claims) | 896 · 1,135 30-day fills |
|---|---|
| Patients | 315 |
| Total drug cost | $92,674 |
| Generic share | 98% of claims |
Education and affiliations
| Medical school | Kent State University College of Podiatric Medicine |
|---|---|
| Graduation year | 1998 |
| Medicare specialty | Podiatry |
Medical group
- Christus Trinity Clinic TexasTyler, TX · 1,540 clinicians
Hospital affiliations
- Christus Mother Frances HospitalTyler, TX
- Christus Shreveport-Bossier Health SystemShreveport, LA
- Christus St Frances Cabrini HospitalAlexandria, LA
- Willis Knighton Medical CenterShreveport, LA
Industry payments (Open Payments)
- 2025$862.34 · 45 payments from 6 companies
- 2024$578.39 · 37 payments from 5 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Mimedx Group, Inc. | $583.99 | 37 |
| Melinta Therapeutics, LLC | $119.24 | 1 |
| Averitas Pharma Inc. | $79.35 | 3 |
| Treace Medical Concepts, Inc. | $41.97 | 2 |
| Paratek Pharmaceuticals, Inc. | $20.92 | 1 |
What the 2025 payments were for
- Food and Beverage$862.34 · 45 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Podiatrist providers in Shreveport
- 1306984117
- 1265692859
- 1336471838
- 1326355280
- 1710079306
- 1881009595
- 1356321681
- 1194723577
- 1285643908
- 1982698023
- 1447214143
- 1922004381