Healthcare Provider Details

I. General information

NPI: 1699351536
Provider Name (Legal Business Name): BRYCE ANTHONY DUGAS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2021
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10099 RIDGEGATE PARKWAY STE. 200
LONE TREE CO
80124-5812
US

IV. Provider business mailing address

7529 SAGE MEADOW DR
DENHAM SPRINGS LA
70726-8937
US

V. Phone/Fax

Practice location:
  • Phone: 704-355-7874
  • Fax: 704-355-5619
Mailing address:
  • Phone: 225-788-6510
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number2022-02807
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number350897
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberDUGA-WZT0L0
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: