Active NPI
Braunstein Surgery PC
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Chesapeake, VA
National Provider Identifier
1063582484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 0101 044559
- Legal business name
- BRAUNSTEIN SURGERY PC
- Practice address
- 1417 Battlefield Blvd N
Suite 180
Chesapeake, VA 23320-4516 - Phone
- (757) 491-6467
- Fax
- (757) 491-6469
- NPI assigned
- Nov 9, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Denice Tarrant
- Title
- Office Manager
- Phone
- (757) 491-6467
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 0101 044559 | VA | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 0101 044559 | VA | Primary |
Addresses
Primary practice location
1417 Battlefield Blvd N
Suite 180
Chesapeake, VA 23320-4516
Mailing address
1417 Battlefield Blvd N
Suite 180
Chesapeake, VA 23320-4516
Phone (757) 491-6467
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007400951 | Medicaid | VA |
National Provider Directory
National Provider DirectoryLocations
1417 Battlefield Blvd N
Ste 180
Chesapeake, VA 23320
Phone (757) 422-2212
1417 Battlefield Blvd N
#18
Chesapeake, VA 23320
Phone (757) 491-6467
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Bryan, TX
- NPI 1033220942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1355875200000",
"number": "1063582484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1417 BATTLEFIELD BLVD N",
"address_2": "SUITE 180",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233204516",
"telephone_number": "757-491-6467",
"fax_number": "757-491-6469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1417 BATTLEFIELD BLVD N",
"address_2": "SUITE 180",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233204516",
"telephone_number": "757-491-6467",
"fax_number": "757-491-6469"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRAUNSTEIN SURGERY PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-09",
"last_updated": "2012-12-19",
"status": "A",
"authorized_official_last_name": "TARRANT",
"authorized_official_first_name": "DENICE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "757-491-6467",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "VA",
"license": "0101 044559",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "VA",
"license": "0101 044559",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007400951",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.