Healthcare Provider Details

I. General information

NPI: 1073479994
Provider Name (Legal Business Name): BRIDGET L. BRAUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/05/2026
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

706 W 28TH AVE
COVINGTON LA
70433-1466
US

IV. Provider business mailing address

437 GALATAS RD
MADISONVILLE LA
70447-9523
US

V. Phone/Fax

Practice location:
  • Phone: 985-898-6426
  • Fax:
Mailing address:
  • Phone: 985-507-8838
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number11373
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: