Bethany Mitchell Braddock, APRN, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Columbia, LA
NPI 1023939592 · NPPES record last updated Jul 22, 2026
Key facts
- NPI
- 1023939592
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 248279 (LA)
- Practice address
- 484 Collins Rd
Columbia, LA 71418-3388 - Phone
- (318) 649-5300
- NPI assigned
- Jul 22, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 248279 | LA | Yes |
Addresses
Primary practice location
484 Collins Rd
Columbia, LA 71418-3388
Mailing address
472 Liberty Cemetary Rd
Grayson, LA 71435-4813
Other providers in Columbia, LA
- Makayla Alexis Beavers
- Monica Ben
- Bio-Medical Applications of Louisiana, LLC
- Madison Strain Black
- Dawn Blackwell
- Sharisma Buckley
- Caldwell Council on Aging
- Caldwell Council on Aging
- Caldwell Council on Aging
- Caldwell Council on Aging
All providers in Columbia, LA · Family Nurse Practitioner in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.