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BRAEDEN MCCUTCHAN MD
NPI 1063215960
Student in an Organized Health Care Education/Training Program in Bossier City, LA

Active since March 28, 2025PECOS Enrolled
3218 CAPRIZZI LN, BOSSIER CITY, LA 71111(985) 264-7272 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Braeden Mccutchan Md NPPES

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

BRAEDEN MCCUTCHAN MD (NPI 1063215960) is an individual student in an organized health care education/training program in Bossier City, Louisiana and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063215960
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBRAEDEN MCCUTCHANCredential: MD
Location Address3218 CAPRIZZI LNBossier City, LA 71111-7441
Mailing Address3218 Caprizzi LnBossier City, LA 71111-7441
Phone(985) 264-7272
Sole ProprietorNo
Enumeration DateMarch 28, 2025
NPPES CertifiedMarch 28, 2025
✔ NPI 1063215960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3218 CAPRIZZI LN, Bossier City, LA 71111
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Braeden Mccutchan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Braeden Mccutchan's NPI number?

The NPI number for Braeden Mccutchan is 1063215960. It was assigned to this individual provider in the NPPES registry on March 28, 2025.

Where is Braeden Mccutchan located?

Braeden Mccutchan practices at 3218 Caprizzi Ln, Bossier City, LA 71111. The listed phone number is (985) 264-7272.

What is Braeden Mccutchan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Braeden Mccutchan enrolled in Medicare?

Yes. Braeden Mccutchan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Braeden Mccutchan was last updated on March 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.