Individual provider Active NPI

Angela Carol Braun, PA-C

  • Physician Assistant
  • Ann Arbor, MI
National Provider Identifier
1215486733
Registry record updated Oct 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2500 Packard St Ste 104a
Ann Arbor, MI 48104-6827
Phone
(248) 877-2436
NPI assigned
Sep 26, 2016
Last updated
Oct 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MI Primary

Addresses

Primary practice location

2500 Packard St Ste 104a
Ann Arbor, MI 48104-6827

Mailing address

2419 Grove Park Rd
Fenton, MI 48430-1443
Phone (248) 877-2436

Other practice location 1

1625 Holmes Rd
Ypsilanti, MI 48198-4155
Phone (734) 864-4797

Other practice location 2

2970 E Lake Lansing Rd
East Lansing, MI 48823-7415
Phone (734) 707-1052

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161025002109 MI Practitioner - Physician Assistant 0648558791 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Wayne State University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrative ServicesGroup PAC ID 5092081687, 7 clinicians

Practice addresses (Care Compare)

2500 Packard St
Suite 104a
Ann Arbor, MI 48104-6827
Phone (734) 707-1052

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hurley Health Services Physician Assistant CurrentSince Dec 1, 2016 Accepting new patients
Hurley Medical Center CurrentSince Jan 1, 1998 Accepting new patients
Hurley Medical Center CurrentSince Jan 1, 1998 Accepting new patients
Hurley Medical Center Physician Assistant Current Accepting new patients
Hurley Medical Center Physician Assistant CurrentSince Dec 1, 2016 Accepting new patients
Pathology Associates Inc PC Current Accepting new patients

Locations

4272 W Vienna Rd
Clio, MI 48420
Phone (810) 687-2850

1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000

1125 S Linden Rd
Ste 210
Flint, MI 48532
Phone (810) 230-3370

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696723200000",
    "number": "1215486733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2419 GROVE PARK RD",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484301443",
            "telephone_number": "248-877-2436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 PACKARD ST STE 104A",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481046827",
            "telephone_number": "248-877-2436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1625 Holmes Rd",
            "address_purpose": "LOCATION",
            "city": "Ypsilanti",
            "state": "MI",
            "postal_code": "481984155",
            "country_code": "US",
            "telephone_number": "734-864-4797",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2970 E Lake Lansing Rd",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "488237415",
            "country_code": "US",
            "telephone_number": "734-707-1052",
            "fax_number": "734-661-1887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAUN",
        "first_name": "ANGELA",
        "middle_name": "CAROL",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-26",
        "last_updated": "2023-10-08",
        "certification_date": "2023-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.