Reyna Maria Braid, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA00531 Issued in TX

Practice address

1570 Lomaland Dr
Suite a
El Paso, TX 79935-4224

Phone

(915) 590-4555

Fax

(915) 590-4718

NPI assigned

Oct 17, 2007

Last updated

Oct 17, 2007By the provider in NPPES

Sex

Female

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Omar Gonzalez, M.D., P.a.

  • Internal Medicine Physician
  • El Paso, TX
  • NPI 1437196276
  Medicare reassignment
• Eduardo Covarrubias M.D.; P.a.

  • Pediatrics Physician
  • El Paso, TX
  • NPI 1013105865
  NPD (past)

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192579200000",
    "number": "1982893780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 LOMALAND DR",
            "address_2": "SUITE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799354224",
            "telephone_number": "915-590-4555",
            "fax_number": "915-590-4718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 LOMALAND DR",
            "address_2": "SUITE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799354224",
            "telephone_number": "915-590-4555",
            "fax_number": "915-590-4718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAID",
        "first_name": "REYNA",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-17",
        "last_updated": "2007-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA00531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terry Anne Brabo, LPC
• Samuel Allen Bracken, CRNA
• Braden Partners LP (Pacific Pulmonary Services)
• Lamon Bradford
• Leeann Shentel Braid, RN, FNP-C
• Branch Craige MD PA
• Clarence Branch
• Detria Latasha Branch, MS, RDN, RHNC
• Christine Brandl, M.D.
• Joshua David Brandon, D.C.

• Medical Physician Assistant in El Paso, TX
• Providers in El Paso, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.