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

Dr. Bryan Wayne Randolph, DPM

Individual provider Podiatrist · NPI 1649276007

Dr. Bryan Wayne Randolph, DPM is a Podiatry in Shreveport, Louisiana. Graduated from Kent State University College of Podiatric Medicine in 1998, 28 years ago. Practices with Christus Trinity Clinic, a 1,531-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
28
Trained at
Kent State University College of Podiatric Medicine
Licensed in
LA
In the registry since
2005
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

See every abbreviation used in this directory →

Practice location Address checks out

1449 E Bert Koun Loop Ste 101
Shreveport, LA 71105-5663
Phone: (318) 681-4282
Show map & directions

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

Additional practice locations (3)

  • 2703 Beene Blvd, Bossier City, LA 71111-5491 — (318) 681-4515
  • 1505 E Bert Kouns Industrial Loop Ste 101, Shreveport, LA 71105-5723 — (318) 681-7480
  • 7821 Youree Dr, Shreveport, LA 71105-5505 — (318) 213-3668

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence DPM.PD290R (LA)
Podiatrist Taxonomy 213E00000X · Licence PD290R (LA)

Record details

NPI number1649276007
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedJune 21, 2005
Last updated in NPPESJune 17, 2025
Certification dateJune 17, 2025

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolKENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated 1998 (28 years in practice)
Group practice Christus Trinity Clinic — 1531 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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