Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

BETHANY MITCHELL BRADDOCK APRN, FNP-C
NPI 1023939592
Nurse Practitioner - Family in Columbia, LA

Active since July 22, 2026
484 COLLINS RD, COLUMBIA, LA 71418(318) 649-5300 Get Directions Write a Review

NPPES record added: July 22, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bethany Mitchell Braddock Aprn, Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BETHANY MITCHELL BRADDOCK APRN, FNP-C (NPI 1023939592) is an individual family provider in Columbia, Louisiana, licensed in Louisiana (248279) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1023939592
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBETHANY MITCHELL BRADDOCKCredential: APRN, FNP-C
Location Address484 COLLINS RDColumbia, LA 71418-3388
Mailing Address472 Liberty Cemetary RdGrayson, LA 71435-4813
Sole ProprietorNo
Enumeration DateJuly 22, 2026
NPPES CertifiedJuly 22, 2026
NPI 1023939592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in LA · 248279
484 COLLINS RD, Columbia, LA 71418

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
484 COLLINS RD
COLUMBIA, LA 71418
Nurse Practitioner (Family)
484 COLLINS RD
COLUMBIA, LA 71418
Counselor (Professional)
484 COLLINS RD
COLUMBIA, LA 71418
Nurse Practitioner (Family)
484 COLLINS RD
COLUMBIA, LA 71418
Family Medicine
484 COLLINS RD
COLUMBIA, LA 71418
Orthopaedic Surgery
484 COLLINS RD
COLUMBIA, LA 71418
Surgery
484 COLLINS RD
COLUMBIA, LA 71418
Nurse Practitioner (Family)
484 COLLINS RD
COLUMBIA, LA 71418

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bethany Braddock's NPI number?

The NPI number for Bethany Braddock is 1023939592. It was assigned to this individual provider in the NPPES registry on July 22, 2026.

Where is Bethany Braddock located?

Bethany Braddock practices at 484 Collins Rd, Columbia, LA 71418. The listed phone number is (318) 649-5300.

What is Bethany Braddock's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Bethany Braddock was last updated on July 22, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.