SearchLouisiana126800000X

Jerardy Velasquez-Bravo

NPI 1861311573 · on the registry since 2026

Practice

Address
6180 University Pkwy Unit 3905
Fort Polk, LA 71459
Phone
(757) 709-5503

Registry record

Primary taxonomy
126800000X
126800000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana