Organization Active NPI

Braunstein Surgery PC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Chesapeake, VA
National Provider Identifier
1063582484
Registry record updated Dec 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
0101 044559 Issued in VA
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

Updated by the provider on Dec 19, 2012

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208600000X 0101 044559 VA
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
007400951MedicaidVA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.