Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
ELLIS D. BRAUD AND FRED A. TENNEY
Active
Organization
ELLIS D. BRAUD AND FRED A. TENNEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLIS DAVID BRAUD JR. DDS (PRESIDENT)
(985) 446-2888
Entity
Organization
Contact information
Practice address
810 BAYOU LN, THIBODAUX, LA 70301-4906
(985) 446-2888
(985) 447-1007
Mailing address
810 BAYOU LN, THIBODAUX, LA 70301-4906
(985) 446-2888
(985) 447-1007
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29215
—
LA
05
—
29633
—
LA
Enumeration date
05/24/2017
Last updated
07/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers