Organization Active NPI

Braun Dermatology & Skin Cancer Center, P.C.

  • Dermatology Physician
  • Washington, DC
National Provider Identifier
1285651059
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
BRAUN DERMATOLOGY & SKIN CANCER CENTER, P.C.
Practice address
3301 New Mexico Ave NW Ste 301
Washington, DC 20016-3603
Phone
(202) 293-7618
Fax
(202) 775-1772
NPI assigned
Jul 16, 2006
Last updated
Nov 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Authorized official

Name
Marisa Ann Braun, MDNPI 1851312631
Title
President/Owner
Phone
(202) 293-7618

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X Primary
MOHS-Micrographic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ND0101X

Addresses

Primary practice location

3301 New Mexico Ave NW Ste 301
Washington, DC 20016-3603

Mailing address

3301 New Mexico Ave NW Ste 301
Washington, DC 20016-3603
Phone (202) 293-7618

Other practice location 1

5911 Kingstowne Village Pkwy Ste 230
Alexandria, VA 22315-4646
Phone (571) 302-5377

Other practice location 2

5911 Kingstowne Village Pkwy Ste 100
Alexandria, VA 22315-4645
Phone (571) 302-5377

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050602000227 DC Part B Supplier - Clinic/Group Practice 5395788210 Receives reassigned benefits from 9 practitioners
Practice locations: Washington, DC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
09D0209146Braun Dermatology3301 New Mexico Avenue NW, Suite 301, Washington, DC 20016ComplianceNov 8, 2027
49D2148273Braun Dermatology & Skin Cancer Center5911 Kingstowne Village Parkway, Suite 100, Alexandria, VA 22315ComplianceOct 24, 2026

National Provider Directory

National Provider Directory

Locations

2112 F St NW
Ste 701
Washington, DC 20037
Phone (202) 293-7618

3301 New Mexico Ave NW
Ste 301
Washington, DC 20016
Phone (202) 293-7618

5911 Kingstowne Village Pkwy
Alexandria, VA 22315
Phone (202) 293-7618

5911 Kingstowne Village Pkwy
Ste 100
Alexandria, VA 22315
Phone (202) 293-7618

5911 Kingstowne Village Pkwy
Ste 230
Alexandria, VA 22315
Phone (571) 302-5377

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700179200000",
    "number": "1285651059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 NEW MEXICO AVE NW STE 301",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200163603",
            "telephone_number": "202-293-7618",
            "fax_number": "202-775-1772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 NEW MEXICO AVE NW STE 301",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200163603",
            "telephone_number": "202-293-7618",
            "fax_number": "202-775-1772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5911 Kingstowne Village Pkwy Ste 230",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223154646",
            "country_code": "US",
            "telephone_number": "571-302-5377",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5911 Kingstowne Village Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223154645",
            "country_code": "US",
            "telephone_number": "571-302-5377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRAUN DERMATOLOGY & SKIN CANCER CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A",
        "authorized_official_last_name": "BRAUN",
        "authorized_official_first_name": "MARISA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "202-293-7618",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.