| Braud Family Practice, Llc | |
|
622 Cypress St Sulphur LA 70663-5052 | |
| (337) 527-2491 | |
| (337) 528-2749 |
| Full Name | Braud Family Practice, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 622 Cypress St, Sulphur, Louisiana |
| Authorized Official Name and Position | Rebecca L Braud (OWNER) |
| Authorized Official Contact | 3375272491 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Braud Family Practice, Llc 622 Cypress St Sulphur LA 70663-5052 Ph: (337) 527-2492 | Braud Family Practice, Llc 622 Cypress St Sulphur LA 70663-5052 Ph: (337) 527-2491 |
| NPI Number | 1821476615 |
|---|---|
| Provider Enumeration Date | 05/12/2015 |
| Last Update Date | 05/12/2015 |
| Medicare PECOS PAC ID | 4183936313 |
|---|---|
| Medicare Enrollment ID | O20150701000657 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821476615 | NPI | - | NPPES |
| 2199072 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 206484 (Louisiana) | Primary |
| Provider Name | Rebecca L Braud |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063787349 PECOS PAC ID: 3173761202 Enrollment ID: I20130906000721 |
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