Alan Braverman, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

021985 Issued in CT

Practice address

11 Grove St
Booth House
New Milford, CT 06776-3626

Phone

(860) 354-5511

Fax

(860) 210-2641

NPI assigned

May 12, 2006

Last updated

Feb 17, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Alan Braverman, MD, PC

  • Gastroenterology Physician
  • New Milford, CT
  • NPI 1710169404
  Authorized official Same address or phone

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234828800000",
    "number": "1093766321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 GROVE ST",
            "address_2": "BOOTH HOUSE",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067763626",
            "telephone_number": "860-354-5511",
            "fax_number": "860-210-2641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 GROVE ST",
            "address_2": "BOOTH HOUSE",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067763626",
            "telephone_number": "860-354-5511",
            "fax_number": "860-210-2641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAVERMAN",
        "first_name": "ALAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2009-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "021985",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CT",
            "license": "021985",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Booth House Primary Care, PLLC
• Erin N. Boothby, L.C.S.W.
• Kathleen Boyce
• Susan J Braccio, MSWLCSW
• Brace and Limb of Connecticut LLC
• Erica Breive
• Danielle Marie Bresson, PT, DPT
• Cameron C Brown, MD
• Melissa Brown, LCSW
• Carol Jean Burns

• Internal Medicine Physician in New Milford, CT
• Providers in New Milford, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; 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.