Individual provider Active NPI

Frederic H.T. Braun, M.D.

  • Specialist
  • Bellingham, WA
National Provider Identifier
1144388406
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD00013524 Issued in WA
Practice address
3001 Squalicum Pkwy
Suite 11
Bellingham, WA 98225-1949
Phone
(360) 733-3696
Fax
(360) 733-9202
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD00013524 WA Primary

Addresses

Primary practice location

3001 Squalicum Pkwy
Suite 11
Bellingham, WA 98225-1949

Mailing address

3001 Squalicum Pkwy
Suite 11
Bellingham, WA 98225-1949
Phone (360) 733-3696

Other identifiers 1

IdentifierTypeStateIssuer
1041979MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00013524WAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144388406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 SQUALICUM PKWY",
            "address_2": "SUITE 11",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251949",
            "telephone_number": "360-733-3696",
            "fax_number": "360-733-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 SQUALICUM PKWY",
            "address_2": "SUITE 11",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251949",
            "telephone_number": "360-733-3696",
            "fax_number": "360-733-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUN",
        "first_name": "FREDERIC",
        "middle_name": "H.T.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00013524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1041979",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.