Active NPI
Matthew Michael Braun, MOTR/L
- Specialist
- Denver, CO
National Provider Identifier
1275724734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 2006026881
- Practice address
- 4800 Cherry Creek South Dr
K200
Denver, CO 80246-2292 - Phone
- (314) 330-1460
- NPI assigned
- Aug 8, 2007
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 2006026881 | MO | Primary |
Addresses
Primary practice location
4800 Cherry Creek South Dr
K200
Denver, CO 80246-2292
Mailing address
4800 Cherry Creek Dr South
K200
Denver, CO 80246
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006026881 | MO | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271116800000",
"number": "1275724734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 CHERRY CREEK DR SOUTH",
"address_2": "K200",
"city": "DENVER",
"state": "CO",
"postal_code": "80246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 CHERRY CREEK SOUTH DR",
"address_2": "K200",
"city": "DENVER",
"state": "CO",
"postal_code": "802462292",
"telephone_number": "314-330-1460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAUN",
"first_name": "MATTHEW",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "MOTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-08",
"last_updated": "2010-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MO",
"license": "2006026881",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.