Individual provider Active NPI

Loranee E Braun, MD

  • Pediatrics Physician
  • Tacoma, WA
National Provider Identifier
1215029566
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
T8494 Issued in TX
Practice address
Madigan Army Medical Center
Tacoma, WA 98431
Phone
(253) 968-1823
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD186107 OR
Pediatric Infectious Diseases Physician 2080P0208X MD60078135 WA
Pediatric Infectious Diseases Physician 2080P0208X MD186107 OR
Pediatric Infectious Diseases Physician 2080P0208X T8494 TX
Pediatrics Physician 208000000X T8494 TX Primary

Addresses

Primary practice location

Madigan Army Medical Center
Tacoma, WA 98431

Mailing address

995 Willagillespie Rd
Eugene, OR 97401-2186
Phone (414) 845-4375

Other practice location 1

3203 S Main St
Lindale, TX 75771-7727
Phone (903) 266-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220923000844 OR Practitioner - Pediatric Medicine 1153452610 Reassigns benefits to 1 organization
I20221022000147 TX Practitioner - Pediatric Medicine 1153452610 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD186107ORMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare for the Mid-Columbia Region Current Accepting new patients
Mid-Columbia Medical Center CurrentSince May 27, 2022 Accepting new patients
Christus Trinity Clinic Texas Pediatrics CurrentSince Dec 7, 2022 Accepting new patients
Mid-Columbia Medical Center Pediatrics Current Accepting new patients
Christus Trinity Clinic Texas CurrentSince Dec 7, 2022 Accepting new patients

Locations

1700 E 19th St
The Dalles, OR 97058
Phone (541) 296-7251

1805 E 19th St
The Dalles, OR 97058
Phone (541) 296-2201

1620 E 12th St
The Dalles, OR 97058
Phone (541) 296-9151

3203 S Main St
Lindale, TX 75771
Phone (903) 266-4000

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: lbraun289927@christushealth.direct-ci.net

Organizations & group practices 5

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1215029566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "995 WILLAGILLESPIE RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012186",
            "telephone_number": "414-845-4375",
            "fax_number": "541-343-7360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MADIGAN ARMY MEDICAL CENTER",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98431",
            "telephone_number": "253-968-1823"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3203 S Main St",
            "address_purpose": "LOCATION",
            "city": "Lindale",
            "state": "TX",
            "postal_code": "757717727",
            "country_code": "US",
            "telephone_number": "903-266-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAUN",
        "first_name": "LORANEE",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD186107",
            "primary": false
        },
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "WA",
            "license": "MD60078135",
            "primary": false
        },
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "OR",
            "license": "MD186107",
            "primary": false
        },
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "TX",
            "license": "T8494",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "T8494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.