Martin Paul Brauweiler, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036082051 Issued in IL

Practice address

1310 N. Main St Ste 101
Sandwich, IL 60548-1616

Phone

(815) 786-2173

Fax

(815) 786-2153

NPI assigned

Jun 9, 2006

Last updated

Dec 6, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sandwich Medical Clinic SC

  • Family Medicine Physician
  • Sandwich, IL
  • NPI 1992921944
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196899200000",
    "number": "1023059177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 N. MAIN ST STE 101",
            "city": "SANDWICH",
            "state": "IL",
            "postal_code": "605481616",
            "telephone_number": "815-786-2173",
            "fax_number": "815-786-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 N. MAIN ST STE 101",
            "city": "SANDWICH",
            "state": "IL",
            "postal_code": "605481616",
            "telephone_number": "815-786-2173",
            "fax_number": "815-786-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUWEILER",
        "first_name": "MARTIN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2007-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036082051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036082051",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ben Gordon Center
• Kathleen Marie Berry, LCSW
• Stephen C Beverley
• Jessica Birchall, OTR/L
• Brandi Kristen Boan, PSYD
• Austin Breunig
• Sandra Brinegar, RPH
• Brandon Alexander Capalad, DPT
• Brett James Cassidy, MD
• Catalyst Physiotherapy, Performance, & Wellness LLC

• Family Medicine Physician in Sandwich, IL
• Providers in Sandwich, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.