Jordan Braun, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2254 Issued in ND

Practice address

512 Main St
Williston, ND 58801-5316

Phone

(701) 774-0320

Fax

(701) 774-0337

NPI assigned

Nov 13, 2015

Last updated

Nov 13, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elite Specialty Clinics, Inc.Group PAC ID 7416138870, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Elite Specialty Clinics, Inc.

  dba Elite Health & Fitness

  • Physical Therapy Clinic/Center
  • Williston, ND
  • NPI 1841594900
  Medicare reassignment Care Compare group NPD
• Elite Specialty Clinics, Inc.

  dba Elite Health

  • Urgent Care Clinic/Center
  • Williston, ND
  • NPI 1235481540
  NPD

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

{
    "created_epoch": "1447372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447372800000",
    "number": "1154795136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6358",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588026358",
            "telephone_number": "701-774-0320",
            "fax_number": "701-774-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 MAIN ST",
            "city": "WILLISTON",
            "state": "ND",
            "postal_code": "588015316",
            "telephone_number": "701-774-0320",
            "fax_number": "701-774-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUN",
        "first_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-13",
        "last_updated": "2015-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "2254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kari Elizabeth Boston, P.T., D.P.T.
• Shelby Lynne Bowlds
• Susan Mae Bradford, LPC
• Alina Bradish
• Emilee T Brannan, RD, LRD
• Cami S Bren, WHNP, FNP-C
• Tamrin Brenno-Fagerland, LSW
• Danielle J Brenno-Watterud, OD
• Tammie Brock
• Deborah L Bronson, RN,BSN,CDE

• Physical Therapist in Williston, ND
• Providers in Williston, ND by specialty
• Physical Therapist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.