Individual
BERNARD B BRACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2647 S. ST ELIZABETH BLVD, GONZALES, LA 70737-5021
(225) 647-8511
(225) 644-5213
Mailing address
2647 S. ST ELIZABETH BLVD, GONZALES, LA 70737-5021
(225) 647-8511
(225) 644-5213
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
011097
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1170909
—
LA
Enumeration date
04/22/2006
Last updated
09/20/2011
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