Braud Family Practice, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

206484 Issued in LA

Legal business name

BRAUD FAMILY PRACTICE, LLC

Practice address

622 Cypress St
Sulphur, LA 70663-5052

Phone

(337) 527-2491

Fax

(337) 528-2749

NPI assigned

May 12, 2015

Organization subpart

No

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

Authorized official

Name

Rebecca L Braud, M.D.NPI 1063787349

Title

Owner

Phone

(337) 527-2491

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rebecca Braud, M.D.

  • Family Medicine Physician
  • Sulphur, LA
  • NPI 1063787349
  Medicare reassignment NPD Authorized official
• Maureen Rose Lannan, M.D.

  • Family Medicine Physician
  • Sulphur, LA
  • NPI 1023014313
  NPD
• Ken Thomas, M.D.

  • Family Medicine Physician
  • Sulphur, LA
  • NPI 1881699015
  NPD

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

{
    "created_epoch": "1431388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431388800000",
    "number": "1821476615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 CYPRESS ST",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706635052",
            "telephone_number": "337-527-2492",
            "fax_number": "337-528-2749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 CYPRESS ST",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706635052",
            "telephone_number": "337-527-2491",
            "fax_number": "337-528-2749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAUD FAMILY PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-12",
        "last_updated": "2015-05-12",
        "status": "A",
        "authorized_official_last_name": "BRAUD",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-527-2491",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "206484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2199072",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Molly Boudreaux, NP
• Marla Karr Bourgeois, RPH
• Madison Bourque, FNP-C
• Renee Bouzigard, LCSW
• Jared Brabham
• Rebecca Braud, M.D.
• Ruth Elaine Brewer, NP
• Brian Lind Gamborg MD Apmc
• Brookshire Brothers Inc
• John Edward Broussard, R.PH.

• Family Medicine Physician in Sulphur, LA
• Providers in Sulphur, 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 May 12, 2015; 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.