Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bryan D. Tate Jr., FNP-C

Individual provider Nurse Practitioner · NPI 1407177348

Bryan D. Tate Jr., FNP-C is a Nurse Practitioner in Kentwood, Louisiana. Qualified in 2010, 16 years ago. Accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
16
Licensed in
LA
In the registry since
2010
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

919 Avenue G
Kentwood, LA 70444
Phone: (985) 229-0202
Fax: (985) 229-2859
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence AP06135 (LA)
Nurse Practitioner Taxonomy 363L00000X · Licence RN102323 AP06135 (LA)

Record details

NPI number1407177348
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJune 15, 2010
Last updated in NPPESFebruary 19, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare