Krista B Braud, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1259 Issued in OK

Practice address

721 W Broadway Ave Ste C
Enid, OK 73701-3800

Phone

(580) 297-5340

Fax

(580) 297-5344

NPI assigned

May 23, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2002

Medicare assignment

May accept Medicare assignment

Group practices

4 R Families Medical Clinic, PLLCGroup PAC ID 2961760111, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Mary's Regional Medical Center Hospital, Enid, OK, CCN 370026
• Integris Health Enid Hospital Hospital, Enid, OK, CCN 370016

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• 4 R Families Medical Clinic PLLC

  • Family Medicine Physician
  • Enid, OK
  • NPI 1184135782
  Medicare reassignment Care Compare group
• Uhs of Oklahoma, LLC

  dba St. Mary's Regional Medical Center

  • General Acute Care Hospital
  • Enid, OK
  • NPI 1417947466
  NPD (past)

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

• Integris Bass Baptist Health Center

  dba Integris Health Enid Hospital

  • General Acute Care Hospital
  • Enid, OK
  • NPI 1144236571
  Care Compare affiliation
• Uhs of Oklahoma, LLC

  dba St. Mary's Regional Medical Center

  • General Acute Care Hospital
  • Enid, OK
  • NPI 1417947466
  Care Compare affiliation

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1710980701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 W BROADWAY AVE STE C",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737013800",
            "telephone_number": "580-297-5340",
            "fax_number": "580-297-5344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 W BROADWAY AVE STE C",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737013800",
            "telephone_number": "580-297-5340",
            "fax_number": "580-297-5344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUD",
        "first_name": "KRISTA",
        "middle_name": "B",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-23",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "1259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200014980A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Curtis J Bowman, D.D.S.
• Martin Craig Bozeman, M.D.
• Bpa, P.C.
• Jeanne Brady
• Roselyn Marie Bramwell
• Jeremy Allan Bray
• Alissa Anne Braziel, M.S. CCC-SLP
• Robert Joseph Breckenridge, D.O.
• Gary Lee Breece, D.D.S., M.S.
• Tracy L. Brigham, LPC

• Medical Physician Assistant in Enid, OK
• Providers in Enid, OK by specialty
• Medical Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.