Individual provider Active NPI

Julaine Braham, MD

  • Internal Medicine Physician
  • St Petersburg, FL
National Provider Identifier
1023671856
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME154793 Issued in FL
Practice address
2805 54TH Ave N Ste 500
St Petersburg, FL 33714-2414
Phone
(727) 341-5800
Fax
(727) 341-5307
NPI assigned
Apr 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME154793 FL Primary

Addresses

Primary practice location

2805 54TH Ave N Ste 500
St Petersburg, FL 33714-2414

Mailing address

2805 54TH Ave N Ste 500
St Petersburg, FL 33714-2414
Phone (727) 341-5800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20220513002365 FL Practitioner - Internal Medicine 9931538626 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Dedicated Senior Medical Centers of Florida, LLC CurrentSince Jul 24, 2022 Accepting new patients
Carlos a Labrador Mdpa CurrentSince Nov 1, 2024 Accepting new patients
Braham Enterprise PLLC Internal Medicine Current Accepting new patients
Dedicated Senior Medical Centers of Florida, LLC PastSince Sep 25, 2022 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC PastSince Jul 24, 2022 Accepting new patients
Carlos a Labrador Mdpa PastSince Nov 20, 2022 Accepting new patients

Locations

2200 56th St S
Gulfport, FL 33707
Phone (727) 381-8006

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

2805 54th Ave N
Ste 500
St Petersburg, FL 33714
Phone (727) 341-5800

6775 Crosswinds Dr N
St Petersburg, FL 33710
Phone (727) 381-8006

Networks

  • FL PPO
  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EIEAAA/Endpoint/EIEAAA

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1023671856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 54TH AVE N STE 500",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337142414",
            "telephone_number": "727-341-5800",
            "fax_number": "727-341-5307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 54TH AVE N STE 500",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337142414",
            "telephone_number": "727-341-5800",
            "fax_number": "727-341-5307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAHAM",
        "first_name": "JULAINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-17",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME154793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.