Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1528635141 Individual Practitioner Female Practitioner

Susan Braddock

Clinic/Center • Fort Worth, TX

Professional Overview & Biography Verified Profile Summary

Susan Braddock is a registered healthcare professional specializing in Clinic/Center in Fort Worth, TX. Practice services are available at 2009 TREMONT AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2009 Tremont Ave

Fort Worth, TX 761073959

Telephone 8173956284
Fax 8174237734
Associated Practice Facility / Clinic
🏢 Bebd Telehealth Facility NPI 1730731688

Specialty Benchmarks & Practice Insights

Comparative analytics for Clinic/Center in Fort Worth, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 44.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Fort Worth, TX (28 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-06-10
Clinic/Center Primary Specialty

NUCC Taxonomy Code: 261Q00000X

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).

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 10, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location June 10, 2021

Registered at 2009 TREMONT AVE, FORT WORTH, TX 761073959 (Tel: 8173956284)

📍
Updated Business Mailing Address June 10, 2021

Registered at 2009 TREMONT AVE, FORT WORTH, TX 761073959 (Tel: 8173956284)

👤
Provider Name / Credentials Updated June 10, 2021

Recorded as SUSAN BRADDOCK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2021

Clinic/Center

🟢
Initial NPI Registration & Enumeration June 10, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528635141
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 10, 2021
Last Update: June 10, 2021
Sole Proprietor: Yes

Mailing Address

2009 Tremont Ave

Fort Worth, TX 761073959

Phone: 8173956284

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.