Individual
JOHN A BRAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1505 E BERT KOUNS INDUSTRIAL LOOP STE 201, SHREVEPORT, LA 71105-5723
(318) 681-4103
Mailing address
PO BOX 1339, WEST MONROE, LA 71294-1339
(318) 388-2646
(318) 388-2843
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
026656
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1059544
—
LA
Enumeration date
05/23/2007
Last updated
03/14/2025
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