Frederick Wicks Brazda, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

011447 Issued in LA

Practice address

1901 Perdido St
Pathology Dept. 5TH Floor
New Orleans, LA 70112-1393

Phone

(504) 568-6031

Fax

(504) 568-6037

NPI assigned

Jul 11, 2005

Last updated

Jan 13, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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

• Louisiana State University School of Medicine in New Orleans Faculty G

  dba LSU Healthcare Network

  • Multi-Specialty Clinic/Center
  • New Orleans, LA
  • NPI 1477582526
  NPD (past)
• Lsu Medical Center

  • Speech-Language Pathologist
  • New Orleans, LA
  • NPI 1588737803
  NPD (past)

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263340800000",
    "number": "1902804214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 PERDIDO ST",
            "address_2": "PATHOLOGY DEPT. 5TH FLOOR",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701121393",
            "telephone_number": "504-568-6031",
            "fax_number": "504-568-6037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 PERDIDO ST",
            "address_2": "PATHOLOGY DEPT. 5TH FLOOR",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701121393",
            "telephone_number": "504-568-6031",
            "fax_number": "504-568-6037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAZDA",
        "first_name": "FREDERICK",
        "middle_name": "WICKS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2010-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "LA",
            "license": "011447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brave Heart Healing Center LLC
• Michele Dauterive Bravo, M.S. CCC-SLP
• Jacob Paul Bray, MD
• Mercedes Bray
• Renea Bray, LPN
• Geoffrey Brazda, M.A., LPC, NCC
• Chet Brazile Jr.
• Christina Brazley
• Terry Marie Brazley
• Augusto Enrique Brazzini, MD

• Anatomic Pathology & Clinical Pathology Physician in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Anatomic Pathology & Clinical Pathology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; 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.