Individual provider Active NPI

Elliot Jay Braun, DPM

  • Foot & Ankle Surgery Podiatrist
  • Mobile, AL
National Provider Identifier
1164510046
Registry record updated Nov 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
00064 Issued in AL
Practice address
1371 Montlimar Dr
Mobile, AL 36609-1645
Phone
(251) 304-0804
Fax
(251) 304-0806
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 00064 AL Primary

Addresses

Primary practice location

1371 Montlimar Dr
Mobile, AL 36609-1645

Mailing address

1371 Montlimar Dr
Mobile, AL 36609-1645
Phone (251) 304-0804

Other identifiers 1

IdentifierTypeStateIssuer
70437OtherALBC/BS ALABAMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110223000157 AL Practitioner - Podiatry 5991986093 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1371 Montlimar Dr
Mobile, AL 36609-1645
Phone (251) 304-0804

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue51
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00064ALMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cottage Hill Podiatry Group PC CurrentSince Jan 3, 2011 Accepting new patients
Cottage Hill Foot Doctor, PC Past Accepting new patients

Locations

1371 Montlimar Dr
Mobile, AL 36609
Phone (251) 304-0804

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.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320105600000",
    "number": "1164510046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1371 MONTLIMAR DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366091645",
            "telephone_number": "251-304-0804",
            "fax_number": "251-304-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1371 MONTLIMAR DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366091645",
            "telephone_number": "251-304-0804",
            "fax_number": "251-304-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUN",
        "first_name": "ELLIOT",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2011-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AL",
            "license": "00064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS ALABAMA",
            "identifier": "70437",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.