Active NPI
Alan R Braid, MD
- Obstetrics Physician
- San Antonio, TX
National Provider Identifier
1205810447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- E3654
- Practice address
- 4499 Medical Dr
230
San Antonio, TX 78229-3735 - Phone
- (210) 615-0866
- Fax
- (210) 615-8321
- NPI assigned
- Dec 1, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | E3654 | TX | Primary |
Addresses
Primary practice location
4499 Medical Dr
230
San Antonio, TX 78229-3735
Mailing address
4499 Medical Dr
San Antonio, TX 78229-3712
Phone (210) 615-0866
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 123265402 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E3654 | TX | MD | Obstetrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alan R Braid Mdpa | Past | Accepting new patients | |
| Richard M Lackritz, Mdpa | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- San Antonio, TX
- NPI 1477725679
-
- Obstetrics & Gynecology Physician
- San Antonio, TX
- NPI 1114199312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701216000000",
"number": "1205810447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4499 MEDICAL DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293712",
"telephone_number": "210-615-0866",
"fax_number": "210-615-8321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4499 MEDICAL DR",
"address_2": "230",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293735",
"telephone_number": "210-615-0866",
"fax_number": "210-615-8321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAID",
"first_name": "ALAN",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-01",
"last_updated": "2023-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "TX",
"license": "E3654",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "123265402",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.