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SUSAN BRADDOCK
NPI 1528635141
Clinic/Center in Fort Worth, TX

Active since June 10, 2021
2009 TREMONT AVE, FORT WORTH, TX 76107(817) 395-6284(817) 423-7734 Get Directions Write a Review

NPPES record last updated: June 10, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susan Braddock NPPES

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

SUSAN BRADDOCK (NPI 1528635141) is an individual clinic/center provider in Fort Worth, Texas and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1528635141
Entity TypeIndividualFemale
Primary Taxonomy261Q00000X
Provider Legal NameSUSAN BRADDOCK
Location Address2009 TREMONT AVEFort Worth, TX 76107-3959
Mailing Address2009 Tremont AveFort Worth, TX 76107-3959 · (817) 395-6284 · Fax (817) 423-7734
Phone(817) 395-6284
Fax(817) 423-7734
Sole ProprietorYes
Enumeration DateJune 10, 2021
NPPES CertifiedJune 10, 2021
✔ NPI 1528635141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2009 TREMONT AVE, Fort Worth, TX 76107
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Other Providers at the Same Location NPPES 2

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

BEBD TELEHEALTH
Clinic/Center
2009 TREMONT AVE
FORT WORTH, TX 76107
Tarrant County (817) 437-3077
BRIDGESIDE TELEHEALTH
Clinic/Center
2009 TREMONT AVE
FORT WORTH, TX 76107
Tarrant County (817) 395-6284

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 Susan Braddock's NPI number?

The NPI number for Susan Braddock is 1528635141. It was assigned to this individual provider in the NPPES registry on June 10, 2021.

Where is Susan Braddock located?

Susan Braddock practices at 2009 Tremont Ave, Fort Worth, TX 76107. The listed phone number is (817) 395-6284.

What is Susan Braddock's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Susan Braddock was last updated on June 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.