Active NPI
Eduardo Braun, M.D.
- Medical Oncology Physician
- Westville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- 01072837A
- Practice address
- 1668 S US Highway 421
Westville, IN 46391-9523 - Phone
- (800) 860-8100
- Fax
- (574) 282-2813
- NPI assigned
- Aug 6, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 01072837A | IN | |
| Internal Medicine Physician | 207R00000X | 125053218 | IL | |
| Medical Oncology Physician | 207RX0202X | 01072837A | IN | Primary |
Addresses
Primary practice location
1668 S US Highway 421
Westville, IN 46391-9523
Mailing address
100 E Wayne St Ste 510
South Bend, IN 46601-2349
Phone (574) 334-5390
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200340290 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 Calumet Ave
Dyer, IN 46311-1596
Phone (219) 924-8178
Hospital & facility affiliations
- St Mary Medical Center Inc
- Northwest Health-la Porte
- Community Hospital
- Franciscan Health Crown Point
- St Catherine Hospital Inc
- Powers Health Rehabilitation Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125053218 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Cancer Centers, PC | Internal Medicine | Current | Accepting new patients |
| University of Chicago | Current | Accepting new patients |
Locations
10191 Broadway
#200
Crown Point, IN 46307
Phone (219) 924-8178
342 E 109th Ave
Crown Point, IN 46307
Phone (219) 310-2550
1001 Calumet Ave
Dyer, IN 46311
Phone (219) 924-8178
1600 S Lake Park Ave
Ste 1101
Hobart, IN 46342
Phone (219) 947-1795
1500 S Lake Park Ave
Ste 109
Hobart, IN 46342
Phone (219) 942-0551
1331 State St
Ste 270
La Porte, IN 46350
Phone (219) 236-0943
1331 State St
Ste 240
La Porte, IN 46350
Phone (219) 326-0943
5510 Franklin St
Michigan City, IN 46360
Phone (219) 809-2600
3800 Saint Mary Rd
Ste 302
Valparaiso, IN 46383
Phone (219) 464-1620
Interoperability endpoints
- ebraun279671@uchospital.direct-ci.com
- ebraun159040@direct.franciscanalliance.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Dyer, IN
- NPI 1578527826
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital
- Crown Point, IN
- NPI 1801301437
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Crown Point, IN
- NPI 1336205798
-
- General Acute Care Hospital
- La Porte, IN
- NPI 1750746285
-
- General Acute Care Hospital
- Munster, IN
- NPI 1003918210
-
- General Acute Care Hospital
- East Chicago, IN
- NPI 1689776882
-
- General Acute Care Hospital
- Hobart, IN
- NPI 1558463745
-
- General Acute Care Hospital
- Hobart, IN
- NPI 1962504175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514937600000",
"number": "1144486309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E WAYNE ST STE 510",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466012349",
"telephone_number": "574-334-5390",
"fax_number": "574-334-5368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1668 S US HIGHWAY 421",
"city": "WESTVILLE",
"state": "IN",
"postal_code": "463919523",
"telephone_number": "800-860-8100",
"fax_number": "574-282-2813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAUN",
"first_name": "EDUARDO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-06",
"last_updated": "2018-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "IN",
"license": "01072837A",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "125053218",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "IN",
"license": "01072837A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200340290",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.