Paulette J Brauer

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R104777 Issued in MD

Practice address

420 Colonial Dr
Denton, MD 21629-3055

Phone

(410) 548-2343

NPI assigned

Mar 8, 2006

Last updated

Apr 10, 2017By the provider in NPPES

Sex

Female

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Sage Hollow Health PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Shelton, CT
  • NPI 1003700071
  NPD

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491782400000",
    "number": "1295703163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6037 WILLIAMSBURG PKWY",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218012281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 COLONIAL DR",
            "city": "DENTON",
            "state": "MD",
            "postal_code": "216293055",
            "telephone_number": "410-548-2343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUER",
        "first_name": "PAULETTE",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2017-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R104777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "403783900",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BC OF MD IND #",
            "identifier": "62149201",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BC OF NCA IND #",
            "identifier": "0078",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret Anne Bortko, F.N.P.
• Doran Arthur Bowman, RN
• Martin Brandes, MD
• Dorothy Jean Branson, O.D.
• Lester Lawrence Branson, OD
• Charles Breeding
• Brinton Woods of Denton, LLC
• Brinton Woods of Denton, LLC
• Elizabeth Anne Buckshaw, PA-C
• Olivia Ann Calwell

• Family Nurse Practitioner in Denton, MD
• Providers in Denton, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.