Paul W Braunstein II, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

0101044559 Issued in VA

Practice address

1417 Battlefield Blvd N
Suite 180
Chesapeake, VA 23320-4516

Phone

(757) 491-6464

Fax

(757) 491-6469

NPI assigned

Sep 1, 2005

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

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in VA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Southern Surgical Associates, LLC

  dba dba AHMED A RAHMAN

  • Vascular Surgery Physician
  • Virginia Beach, VA
  • NPI 1205027265
  NPD (past)

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355875200000",
    "number": "1215921580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 BATTLEFIELD BLVD N",
            "address_2": "SUITE 180",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204516",
            "telephone_number": "757-491-6464",
            "fax_number": "757-491-6469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 BATTLEFIELD BLVD N",
            "address_2": "SUITE 180",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204516",
            "telephone_number": "757-491-6464",
            "fax_number": "757-491-6469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUNSTEIN",
        "first_name": "PAUL",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-01",
        "last_updated": "2012-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101044559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007400951",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NO.",
            "identifier": "AETNA",
            "state": "VI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE PROVIDE",
            "identifier": "1701294",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NO",
            "identifier": "453902",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N.C.MEDICAID PROVIDER #",
            "identifier": "007400951",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI PROVIDER #",
            "identifier": "MAMSI",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "R.R. MEDICARE PROVIDER",
            "identifier": "020037789",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA PROVIDER #",
            "identifier": "37143",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary C Brantley, LCSW
• Glenda Marie Braswell-Moore, CRNAP
• Aliscia Mercedes Bratton
• Taylor Braun
• Braunstein Surgery PC
• Jessica R Brawley, M.D.
• Damita Y Braye-Gonzalez, L.P.C., L.M.F.T.
• Brazos Medical Supply, LLC
• Breeric LLC (Agape Care)
• Rachell Hart Bregant, PHYSICIAN ASSISTANT

• Specialist in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.