Active NPI
Rudy Maeda Braza, M.D.
- Diagnostic Radiology Physician
- Texarkana, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- N7232
- Practice address
- 4102 Richmond MDWS
Texarkana, TX 75503-0067 - Phone
- (903) 223-1014
- NPI assigned
- Mar 15, 2006
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | N7232 | TX | Primary |
Addresses
Primary practice location
4102 Richmond MDWS
Texarkana, TX 75503-0067
Mailing address
PO Box 5667
Texarkana, TX 75505-5667
Phone (903) 223-1014
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Tufts University School of Medicine, 1997
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
805 Trinity Dr
Hope, AR 71801-3621
Phone (817) 321-0404
815 Pennsylvania Ave
Fort Worth, TX 76104-2224
Phone (817) 321-0470
Hospital & facility affiliations
- Christus St Michael Health System
- Christus Mother Frances Hospital
- Howard Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N7232 | TX | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiology Associates of North Texas PA | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Associates of North Texas, PA | Diagnostic Radiology | Current | Accepting new patients |
Locations
805 Trinity Dr
Hope, AR 71801
Phone (870) 722-1020
17980 Dallas Pkwy
Ste 200
Dallas, TX 75287
Phone (972) 248-1303
815 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 321-0300
816 W Cannon St
Ft Worth, TX 76104
Phone (817) 321-0312
2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000
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.
-
- Diagnostic Radiology Physician
- Fort Worth, TX
- NPI 1710970975
AR
-
- Diagnostic Radiology Physician
- Fort Worth, TX
- NPI 1407146384
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Texarkana, TX
- NPI 1295736734
-
- General Acute Care Hospital
- Tyler, TX
- NPI 1679578439
-
- Critical Access Hospital
- Nashville, AR
- NPI 1851484695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575331200000",
"number": "1790754497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5667",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755055667",
"telephone_number": "903-223-1014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4102 RICHMOND MDWS",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755030067",
"telephone_number": "903-223-1014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAZA",
"first_name": "RUDY",
"middle_name": "MAEDA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-15",
"last_updated": "2019-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "N7232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Texarkana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; 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.