Organization Active NPI

Braun Chiropractic, a Professional Limited Liability Company

Doing business as Braun Chiropractic PLLC

  • Chiropractor
  • Conifer, CO
National Provider Identifier
1154441764
Registry record updated Apr 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BRAUN CHIROPRACTIC, A PROFESSIONAL LIMITED LIABILITY COMPANY
Doing business as
Braun Chiropractic PLLC
Practice address
26291 Main Street
Conifer, CO 80433
Phone
(303) 838-0990
Fax
(303) 838-6400
NPI assigned
Mar 29, 2007
Last updated
Apr 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2010

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

Authorized official

Name
Dr. Peter J Braun, D.C.NPI 1679693345
Title
Manager
Phone
(303) 838-0990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary
Massage Therapist 225700000X

Addresses

Primary practice location

26291 Main Street
Conifer, CO 80433

Mailing address

PO Box 1412
Conifer, CO 80433-1412
Phone (303) 838-0990

Other names 1

  • Braun Chiropractic PLLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100819001205 CO Part B Supplier - Clinic/Group Practice 8123152550 Receives reassigned benefits from 1 practitioner
Practice locations: Conifer, CO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271203200000",
    "number": "1154441764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1412",
            "city": "CONIFER",
            "state": "CO",
            "postal_code": "804331412",
            "telephone_number": "303-838-0990",
            "fax_number": "303-838-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26291 MAIN STREET",
            "city": "CONIFER",
            "state": "CO",
            "postal_code": "80433",
            "telephone_number": "303-838-0990",
            "fax_number": "303-838-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAUN CHIROPRACTIC, A PROFESSIONAL LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2010-04-14",
        "status": "A",
        "authorized_official_last_name": "BRAUN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "303-838-0990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Braun Chiropractic PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conifer, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2010; 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.