Individual
DR. SCOTT V BRACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6823 SAINT CHARLES AVE BLDG 92, NEW ORLEANS, LA 70118-5698
(504) 865-5255
Mailing address
325 WALTER RD, RIVER RIDGE, LA 70123-2616
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
025424
LA
208000000X
Pediatrics Physician
025424
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1579173
—
LA
01
—
P00459835
RR MEDICARE
LA
Enumeration date
09/27/2005
Last updated
11/15/2021
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