Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jared Brabham

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1134763576

Jared Brabham is a Nurse Practitioner in Sulphur, Louisiana. Qualified in 2023, 3 years ago. Practices with Imperial Calcasieu Human Services Authority, a 22-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
3
Licensed in
LA
In the registry since
2019
Specialties on file
2

Practice location Address checks out

2651 E Napoleon St
Sulphur, LA 70663-3707
Phone: (337) 625-6750
Fax: (337) 625-6752
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 2110 Oak Park Blvd, Lake Charles, LA 70601-7864 — (337) 475-0324
  • 2000 Opelousas St, Lake Charles, LA 70601-2641 — (337) 439-9983
  • 4105 Kirkman St, Lake Charles, LA 70607-4603 — (337) 475-3100

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 234094 (LA)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence RN158835 (LA)

Record details

NPI number1134763576
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 29, 2019
Last updated in NPPESNovember 10, 2025
Certification dateNovember 10, 2025
Mailing address4105 Kirkman St, Lake Charles, LA 70607-4603

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Imperial Calcasieu Human Services Authority — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare