Bayou Dermatology LLC
NPI 1699636571ActiveOrganization· Dermatology· Ruston, LA
Dermatology in Ruston, Louisiana, registered in NPPES in November 2025. The authorized official on file is Joshua Mandrell, MD, Owner/Md. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1699636571 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 20, 2025 |
| Last updated in NPPES | Nov 20, 2025 |
| Certified by provider | Nov 20, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
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 Part B Supplier - Clinic/Group Practice (LA) |
|---|
Other Dermatology providers in Ruston
- 1770781650