Active NPI
Gordon J Braun DC PA
- Chiropractor
- Miami Beach, FL
National Provider Identifier
1124236625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH 8403
- 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, 2008
- 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
- Dr. Gordon Jay Braun, D.C.
- Title
- President
- Phone
- (305) 864-1419
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121121000065 | FL | Part B Supplier - Clinic/Group Practice | 8123279205 | Practice locations: Miami Beach, FL |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Chiropractor
- Miami Beach, FL
- NPI 1073514436
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.