WK Frederick and Braud Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WK FREDERICK AND BRAUD CLINIC

Practice address

2508 Bert Kouns Loop
Suite 102
Shreveport, LA 71118-3133

Phone

(318) 212-5777

Fax

(318) 212-5888

NPI assigned

Nov 20, 2007

Last updated

Jun 2, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jared T Beville

Title

VP - WK Physician Network

Phone

(318) 716-4891

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Willis Knighton Medical Center, Inc.

  dba Home Health Departmant Willis Knighton Hospital Inc

  • Home Health Agency
  • Shreveport, LA
  • NPI 1326093782

  Member Of

  NPD member

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pratibha Anne, MD

  • Family Medicine Physician
  • Shreveport, LA
  • NPI 1821228909
  Medicare reassignment Care Compare group NPD
• Carolyn Brantly, FNP

  • Family Nurse Practitioner
  • Shreveport, LA
  • NPI 1467125492
  Medicare reassignment Care Compare group NPD
• Roopashree Muralidhar, M.D.

  • Internal Medicine Physician
  • Shreveport, LA
  • NPI 1346487808
  Medicare reassignment Care Compare group NPD
• Thanh Dai Vo, M.D.

  • Family Medicine Physician
  • Shreveport, LA
  • NPI 1184658635
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748822400000",
    "number": "1386825172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2508 BERT KOUNS LOOP",
            "address_2": "SUITE 102",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183133",
            "telephone_number": "318-212-5777",
            "fax_number": "318-212-5888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 BERT KOUNS LOOP",
            "address_2": "SUITE 102",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183133",
            "telephone_number": "318-212-5777",
            "fax_number": "318-212-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WK FREDERICK AND BRAUD CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A",
        "authorized_official_last_name": "BEVILLE",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "VP - WK PHYSICIAN NETWORK",
        "authorized_official_telephone_number": "318-716-4891"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• WK Digestive Disease Consultants
• WK Doctors for Women
• WK Elite Internal Medicine
• WK Eye Center at Towne Oaks
• WK Family Medicine Partners at Pierremont
• WK Gastroenterology Associates
• WK General Surgery Pierremont
• WK Gynecologic Oncology Clinic
• WK Heart and Vascular Institute CHF Clinic
• WK Hematology Oncology Associates

• Family Medicine Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.