Active NPI
Braid Medical Corporation
- Anesthesiology Physician
- Los Angeles, CA
National Provider Identifier
1467945758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- BRAID MEDICAL CORPORATION
- Practice address
- 2080 Century Park E Ste 1111
Los Angeles, CA 90067 - Phone
- (760) 893-0649
- NPI assigned
- Jun 11, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Roy L. Braid, MD
- Title
- Owner/President
- Phone
- (626) 795-6596
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
2080 Century Park E Ste 1111
Los Angeles, CA 90067
Mailing address
PO Box 60790
Pasadena, CA 91116-6790
Phone (626) 795-6596
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1530057600000",
"number": "1467945758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60790",
"city": "PASADENA",
"state": "CA",
"postal_code": "911166790",
"telephone_number": "626-795-6596",
"fax_number": "770-701-6715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2080 CENTURY PARK E STE 1111",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90067",
"telephone_number": "760-893-0649"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRAID MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-11",
"last_updated": "2018-06-27",
"status": "A",
"authorized_official_last_name": "BRAID",
"authorized_official_first_name": "ROY",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "626-795-6596",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.