Provider Demographics
NPI:1194189399
Name:DRAPEKIN, BRADY RANDOLPH (MD)
Entity Type:Individual
Prefix:DR
First Name:BRADY
Middle Name:RANDOLPH
Last Name:DRAPEKIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:821 ELLIOTT ST
Mailing Address - Street 2:FAMILY MEDICINE
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71301-7732
Mailing Address - Country:US
Mailing Address - Phone:318-441-1030
Mailing Address - Fax:318-441-1050
Practice Address - Street 1:821 ELLIOTT ST
Practice Address - Street 2:FAMILY MEDICINE
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301-7732
Practice Address - Country:US
Practice Address - Phone:318-441-1030
Practice Address - Fax:318-441-1050
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-13
Last Update Date:2019-07-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA312920207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine