NPIMap

Individual provider Active NPI

Rebecca Braud, M.D.

  • Family Medicine Physician
  • Sulphur, LA
National Provider Identifier
1063787349
Registry record updated Feb 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.206484 Issued in LA
Practice address
1327 Stelly LN Ste 3
Sulphur, LA 70663-5650
Phone
(337) 528-7316
Fax
(337) 528-7884
NPI assigned
Mar 20, 2012
Last updated
Feb 5, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD.206484 LA Primary

Addresses

Primary practice location

1327 Stelly LN Ste 3
Sulphur, LA 70663-5650

Mailing address

1327 Stelly LN Ste 3
Sulphur, LA 70663-5650
Phone (337) 528-7316

Other practice location 1

1525 Oak Park Blvd
Lake Charles, LA 70601-8849
Phone (337) 494-6767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130906000721 LA Practitioner - Family Practice 3173761202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in New Orleans, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1327 Stelly LN
Suite 3
Sulphur, LA 70663-5650
Phone (337) 528-7316

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.206484LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ken Thomas MD LLC Family Medicine Current Accepting new patients
Amy Sarah Thompson Soileau MD LLC Current Accepting new patients
Lannan Family Practice, LLC Family Medicine Current Accepting new patients
Braud Family Practice, LLC Family Medicine CurrentSince Jul 15, 2015 Accepting new patients
Emergency Medicine Specialist, Apmc Past Accepting new patients

Locations

1327 Stelly Ln
Ste 3
Sulphur, LA 70663
Phone (337) 439-2040

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612483200000",
    "number": "1063787349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1327 STELLY LN STE 3",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706635650",
            "telephone_number": "337-528-7316",
            "fax_number": "337-528-7884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1327 STELLY LN STE 3",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706635650",
            "telephone_number": "337-528-7316",
            "fax_number": "337-528-7884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1525 Oak Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706018849",
            "country_code": "US",
            "telephone_number": "337-494-6767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAUD",
        "first_name": "REBECCA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-20",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD.206484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sulphur, LA

Sources for this page

Verify at the official NPI Registry.