Active NPI
Jason R Braud, LAT
- Student in an Organized Health Care Education/Training Program
- Fort Worth, TX
National Provider Identifier
1952376576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- AT2539
- Practice address
- 1003 W Cannon St
Fort Worth, TX 76104-3030 - Phone
- (817) 871-3435
- Fax
- (817) 871-3459
- NPI assigned
- Feb 17, 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | AT2539 | TX | Primary |
Addresses
Primary practice location
1003 W Cannon St
Fort Worth, TX 76104-3030
Mailing address
2911 San Rocendo St
Apt #4321
Fort Worth, TX 76116-0681
Phone (817) 228-4588
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
| License | State | Type | Specialty |
|---|---|---|---|
| AT2539 | TX | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1952376576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2911 SAN ROCENDO ST",
"address_2": "APT #4321",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761160681",
"telephone_number": "817-228-4588",
"fax_number": "817-871-3459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 W CANNON ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761043030",
"telephone_number": "817-871-3435",
"fax_number": "817-871-3459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAUD",
"first_name": "JASON",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "LAT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-17",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TX",
"license": "AT2539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.