Organization Active NPI

Gordon J Braun DC PA

  • Chiropractor
  • Miami Beach, FL
National Provider Identifier
1124236625
Registry record updated Aug 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 8403 Issued in FL
Legal business name
GORDON J BRAUN DC PA
Practice address
1175 71St St
Miami Beach, FL 33141-3645
Phone
(305) 864-1419
Fax
(305) 861-7246
NPI assigned
May 18, 2007
Last updated
Aug 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2008

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

Authorized official

Name
Dr. Gordon Jay Braun, D.C.
Title
President
Phone
(305) 864-1419

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 8403 FL Primary

Addresses

Primary practice location

1175 71St St
Miami Beach, FL 33141-3645

Mailing address

1175 71St Street
Miami Beach, FL 33141-3645
Phone (305) 864-1419

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121121000065 FL Part B Supplier - Clinic/Group Practice 8123279205 Practice locations: Miami Beach, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219795200000",
    "number": "1124236625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 71ST STREET",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331413645",
            "telephone_number": "305-864-1419",
            "fax_number": "305-861-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 71ST ST",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331413645",
            "telephone_number": "305-864-1419",
            "fax_number": "305-861-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDON J BRAUN DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2008-08-27",
        "status": "A",
        "authorized_official_last_name": "BRAUN",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-864-1419",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 8403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.