NPI age
4 years
Enumerated 2021-06-10
● Active
Type 1 · Individual
Susan Braddock
Braddock is 1 of 46 clinic/center providers in Fort Worth and 1 of 1927 in Texas.
Primary specialty
Clinic/Center
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2021-06-10
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 1927 active clinic/center providers in Texas.
NPI age
4 years
↓ 6 yr below median (10 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
16% of peers hold subspecialties
NPI lifetime · 2021 → 2026
2021-06Enumerated in NPPES
2021
2026
Where they practice
Practice location
2009 Tremont Ave
Fort Worth, TX 761073959
Mailing address
2009 Tremont Ave
Fort Worth, TX 761073959
Specialties
-
Clinic/Center PrimaryA 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...
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.