Scott M Braun, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1466TX Issued in WA

Practice address

901 S Lincoln St
Port Angeles, WA 98362-7848

Phone

(360) 452-4056

Fax

(360) 457-1686

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1306864426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 S LINCOLN ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983627848",
            "telephone_number": "360-452-4056",
            "fax_number": "360-457-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 S LINCOLN ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983627848",
            "telephone_number": "360-452-4056",
            "fax_number": "360-457-1686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUN",
        "first_name": "SCOTT",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "WA",
            "license": "1466TX",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "1466TX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2015610",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Noah Abraham Brady
• Brendt Allen Brandewie
• T Scott Brandon, CHW
• Colleen Marie Brastad, P.T.
• Nichole Braun, RN
• Jinlin Brendel
• Deidre Brightbill, LMT
• Bradley Allen Bringgold, M.D.
• Anna Brock, RN
• Steven Clay Brockett, DDS

• Optometrist in Port Angeles, WA
• Providers in Port Angeles, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; 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.

Verify at the official NPI Registry.