NPIMap

Individual provider Active NPI

Jason J. Braud, MD

  • Diagnostic Radiology Physician
  • Lake Charles, LA
National Provider Identifier
1336348549
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
205347 Issued in LA
Practice address
1800 Ryan St
Suite 105
Lake Charles, LA 70601-6078
Phone
(337) 439-4706
NPI assigned
Jul 17, 2007
Last updated
Nov 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X N0658 TX
Diagnostic Radiology Physician 2085R0202X 205347 LA Primary

Addresses

Primary practice location

1800 Ryan St
Suite 105
Lake Charles, LA 70601-6078

Mailing address

1800 Ryan St
Suite 105
Lake Charles, LA 70601-6078
Phone (337) 439-4706

Other identifiers 1

IdentifierTypeStateIssuer
2194585MedicaidLA

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
I20120613000075 LA Practitioner - Diagnostic Radiology 7911177407 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Louisiana State University School of Medicine in Shreveport, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gulf Coast Radiology LLCGroup PAC ID 6507242195, 4 clinicians
Radiology Associates of Southwest LouisianaGroup PAC ID 0941243562, 98 clinicians
Second Avenue MRI LLCGroup PAC ID 0749203610, 10 clinicians
Paradigm Health SystemGroup PAC ID 7012162464, 36 clinicians

Practice addresses (Care Compare)

1500 Line Ave
Suite 100
Shreveport, LA 71101-4644
Phone (337) 706-1605

1701 Oak Park Blvd
Lake Charles, LA 70601-8911
Phone (337) 494-3036

217 Sam Houston Jones Pkwy
Suite 102
Moss Bluff, LA 70611-5644
Phone (337) 480-8989

2770 3Rd Ave
Suite 125
Lake Charles, LA 70601-8994
Phone (337) 494-2674

3704 N Blvd
Alexandria, LA 71301-3658
Phone (318) 545-4038

64301 Hwy 434
Lacombe, LA 70445-5411
Phone (985) 882-4500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
205347LAMDDiagnostic Radiology Physician
N0658TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Jan 18, 2022 Accepting new patients
Radiology Associates of Southwest Louisiana Diagnostic Radiology CurrentSince Jul 1, 2012 Accepting new patients
Doctors' Hospital of Slidell, LLC CurrentSince Oct 11, 2023 Accepting new patients
Gulf Coast Radiology LLC Diagnostic Radiology CurrentSince Nov 1, 2023 Accepting new patients
Louisiana Pet/CT Imaging of Lake Charles. LLC CurrentSince Mar 1, 2022 Accepting new patients
Doctors' Hospital of Slidell, LLC Diagnostic Radiology CurrentSince Oct 11, 2023 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Second Avenue MRI LLC Diagnostic Radiology CurrentSince Jul 1, 2012 Accepting new patients
Paradigm Health System CurrentSince Jan 1, 2024 Accepting new patients
Ochsner Clinic LLC CurrentSince Jan 18, 2022 Accepting new patients
Paradigm Health System Past Accepting new patients
Lake Charles Medical Services Family Practice Associates, LLC PastSince Sep 1, 2024 Accepting new patients
Cenla Urology Clinic LLC Past Accepting new patients

Locations (25 of 47)

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

221 Windermere Blvd
Alexandria, LA 71303
Phone (318) 427-3300

224 Pecan Park Ave
Alexandria, LA 71303
Phone (318) 427-7900

301 4th St
Alexandria, LA 71301
Phone (318) 441-1030

3311 Prescott Rd
Ste 100
Alexandria, LA 71301
Phone (318) 442-3384

3311 Prescott Rd
Ste 4001
Alexandria, LA 71301

3330 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6917

3425 North Blvd
Ste A
Alexandria, LA 71301
Phone (318) 473-1921

3704 North Blvd
Alexandria, LA 71301
Phone (318) 448-8211

5413 Jackson Street Ext
Alexandria, LA 71303
Phone (318) 442-8399

5419 Jackson Street Ext
#A
Alexandria, LA 71303
Phone (318) 441-2226

651 N Bolton Ave
Alexandria, LA 71301
Phone (318) 443-3511

10310 The Grove Blvd
Baton Rouge, LA 70836
Phone (225) 761-5239

2005 Landry Dr
Bossier City, LA 71111
Phone (318) 752-7850

411 Coleman Ave
Bossier City, LA 71111
Phone (318) 585-2000

600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100

187 Ninth St
Jena, LA 71342
Phone (318) 992-9200

64301 Highway 434
Lacombe, LA 70445
Phone (985) 520-0909

1000 Walters St
Lake Charles, LA 70607
Phone (337) 475-8687

1601 Country Club Rd
Lake Charles, LA 70605
Phone (337) 439-7778

1701 Oak Park Blvd
Lake Charles, LA 70601
Phone (337) 494-3000

1747 Imperial Blvd
Ste B
Lake Charles, LA 70605
Phone (337) 312-8284

1750 Ryan St
Lake Charles, LA 70601
Phone (337) 433-3001

1800 Ryan St
Ste 105
Lake Charles, LA 70601
Phone (337) 291-9161

2770 3rd Ave
Ste 125
Lake Charles, LA 70601
Phone (337) 494-2674

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/uc27777_cenlaurologyclinic
  • FHIR API: https://fhir-usa.unify.chbase.com/org/doctor-68509c24

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1336348549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 RYAN ST",
            "address_2": "SUITE 105",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706016078",
            "telephone_number": "337-439-4706",
            "fax_number": "337-439-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 RYAN ST",
            "address_2": "SUITE 105",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706016078",
            "telephone_number": "337-439-4706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUD",
        "first_name": "JASON",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-17",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "N0658",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "205347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2194585",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.