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BRAUD FAMILY PRACTICE LLC NPI 1821476615


NPI Information

NPI: 1821476615
Provider Name: BRAUD FAMILY PRACTICE, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 19D2213043

Address:
622 CYPRESS ST
SULPHUR, LA
ZIP 70663
Phone: (337) 527-2491
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BRAUD FAMILY PRACTICE, LLC is a family medicine in Sulphur, LA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BRAUD FAMILY PRACTICE, LLC NPI is 1821476615. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

622 CYPRESS ST
SULPHUR, LA
ZIP 70663-052
Phone: (337) 527-2491
Fax: (337) 528-2749

The provider's authorized official is Rebecca L Braud .
The authorized official title is Owner and has the following contact phone number (337) 527-2491.

The CLIA number assigned to this NPI record is 19D2213043 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/12/2015 and was last updated on 5/12/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine206484LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12199072MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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