Individual provider Active NPI

Mary Jane Emily Braunstein, M.D.

  • Obstetrics & Gynecology Physician
  • Austin, TX
National Provider Identifier
1265449623
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
J6347 Issued in TX
Practice address
11111 Research Blvd
Suite 230
Austin, TX 78759-5264
Phone
(512) 795-4620
NPI assigned
Aug 1, 2006
Last updated
Feb 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X J6347 TX Primary

Addresses

Primary practice location

11111 Research Blvd
Suite 230
Austin, TX 78759-5264

Mailing address

205 E University Ave
Georgetown, TX 78626-6814
Phone (512) 454-5721

Other identifiers 2

IdentifierTypeStateIssuer
8J9153OtherTXBCBS
170195502MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address maryjane.braunstein.p1@direct.lscctx.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20041210000200 TX Practitioner - Obstetrics/Gynecology 3678530706 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Texas Tech University Health Science Center School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lone Star Circle of CareGroup PAC ID 5193709392, 29 clinicians

Practice addresses (Care Compare)

2423 Williams Dr
Georgetown, TX 78628-3200
Phone (877) 800-5722

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Texas Holdings, P.a. Obstetrics & Gynecology CurrentSince Feb 1, 2024 Accepting new patients
Lone Star Circle of Care CurrentSince Aug 2, 2023 Accepting new patients
Lone Star Circle of Care Obstetrics & Gynecology Current Accepting new patients
St Davids Healthcare Partnership LP LLP Past Accepting new patients
Central Texas Medical Specialists, PLLC Past Accepting new patients

Locations

11111 Research Blvd
Ste 295
Austin, TX 78759
Phone (512) 439-1003

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (361) 985-5000

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

205 E University Ave
Ste 200
Georgetown, TX 78626
Phone (512) 686-0207

2423 Williams Dr
Georgetown, TX 78628
Phone (512) 686-0207

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

2300 Round Rock Ave
Ste 208
Round Rock, TX 78681
Phone (512) 218-1222

3333 Research Plz
San Antonio, TX 78235
Phone (210) 297-3000

Interoperability endpoints

  • Direct secure messaging: mary.jane.braunstein.1@29821.direct.athenahealth.com

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, 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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614038400000",
    "number": "1265449623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E UNIVERSITY AVE",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786266814",
            "telephone_number": "512-454-5721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11111 RESEARCH BLVD",
            "address_2": "SUITE 230",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595264",
            "telephone_number": "512-795-4620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUNSTEIN",
        "first_name": "MARY JANE",
        "middle_name": "EMILY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "J6347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8J9153",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170195502",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "maryjane.braunstein.p1@direct.lscctx.nextgenshare.com",
            "affiliation": "N",
            "address_1": "11111 Research Blvd",
            "address_2": "Suite 230",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787595264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.