Bayou Dermatology LLC
NPI 1699636571 · Dermatology Physician · Ruston, LA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bayou Dermatology LLC is a Dermatology Physician organization in Ruston, LA (NPI 1699636571).
Provider details
- NPI number
- 1699636571
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Joshua Mandrell, Owner/Md(318) 265-6376
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-11-20
- Last updated
- 2025-11-20
- Certified
- 2025-11-20
Frequently asked questions
- What is Bayou Dermatology LLC's NPI number?
- Bayou Dermatology LLC's National Provider Identifier (NPI) is 1699636571, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bayou Dermatology LLC?
- Bayou Dermatology LLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Bayou Dermatology LLC located?
- Bayou Dermatology LLC's practice location on file with NPPES is 911 Tech Dr, Ruston, LA 71270-0701.
- What is Bayou Dermatology LLC's phone number?
- The practice phone number listed in the NPPES registry for Bayou Dermatology LLC is (318) 265-6376.
- Does Bayou Dermatology LLC accept Medicare?
- Bayou Dermatology LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Bayou Dermatology LLC?
- The authorized official listed on Bayou Dermatology LLC's NPPES record is Joshua Mandrell, Owner/Md. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bayou Dermatology LLC's NPI active?
- Yes — Bayou Dermatology LLC's NPI (1699636571) is active in the NPPES registry as of the last update on 2025-11-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.