Individual provider Active NPI

Joseph Pierce Braud Jr., DDS, MSPH

  • Endodontics
  • New Iberia, LA
National Provider Identifier
1861790461
Registry record updated Oct 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
6019 Issued in LA
Practice address
603 Rue de Lion
New Iberia, LA 70563-2114
Phone
(337) 367-1271
NPI assigned
Mar 5, 2011
Last updated
Oct 27, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 6019 LA Primary
General Practice Dentistry 1223G0001X 6019 LA

Addresses

Primary practice location

603 Rue de Lion
New Iberia, LA 70563-2114

Mailing address

603 Rue de Lion
New Iberia, LA 70563-2114
Phone (504) 333-9093

Other names 1

  • Joe Braud Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6019LAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Bayou Orthodontics Corporation Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1299283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319673600000",
    "number": "1861790461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 RUE DE LION",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705632114",
            "telephone_number": "504-333-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 RUE DE LION",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705632114",
            "telephone_number": "337-367-1271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUD",
        "first_name": "JOSEPH",
        "middle_name": "PIERCE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS,  MSPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-05",
        "last_updated": "2011-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "LA",
            "license": "6019",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "6019",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOE",
            "last_name": "BRAUD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Iberia, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.