Active NPI
Eric Terrance Braunlin, D.D.S.
- General Practice Dentistry
- Cleburne, TX
National Provider Identifier
1265727267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 27028
- Practice address
- 403 S Colonial Dr
Cleburne, TX 76033-4618 - Phone
- (817) 645-2486
- Fax
- (817) 641-2426
- NPI assigned
- Jun 17, 2011
- Last updated
- Jan 5, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 27028 | TX | Primary |
Addresses
Primary practice location
403 S Colonial Dr
Cleburne, TX 76033-4618
Mailing address
403 S Colonial Dr
Cleburne, TX 76033-4618
Phone (817) 645-2486
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160523001915 | TX | Order and Referring Only - Dentist | 9739478298 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27028 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Braunlin and Glover Family Dentistry | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Chisholm Trail Family Dentistry
- Dentist
- Cleburne, TX
- NPI 1083002562
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420416000000",
"number": "1265727267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 S COLONIAL DR",
"city": "CLEBURNE",
"state": "TX",
"postal_code": "760334618",
"telephone_number": "817-645-2486",
"fax_number": "817-641-2426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 S COLONIAL DR",
"city": "CLEBURNE",
"state": "TX",
"postal_code": "760334618",
"telephone_number": "817-645-2486",
"fax_number": "817-641-2426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAUNLIN",
"first_name": "ERIC",
"middle_name": "TERRANCE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-17",
"last_updated": "2015-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "27028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleburne, TX
- Boulder Holdings, LLC (Henderson Pharmacy)
- Joseph Dylan Bowles, DDS
- Darla Jean Bradshaw, OTR
- Linda Kay Brandt, 101YP2500X
- Braunlin and Glover Family Dentistry (Chisholm Trail Family Dentistry)
- Brekkin Inc (Medical Arts Medical Equipment)
- Brian Nelson MD PLLC (Family Practice TX)
- Julie Brochu, P.T., M.S.P.T.
- June J Brooks, ED.D
- Corwin A Brown, O.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; 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.