Individual provider Active NPI

Scott R. Braun, D.C.

  • Chiropractor
  • Boca Raton, FL
National Provider Identifier
1336357409
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0007601 Issued in FL
Practice address
18300 Clear Brook Cir
Boca Raton, FL 33498-1947
Phone
(561) 305-4468
Fax
(561) 852-2034
NPI assigned
May 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH0007601 FL Primary

Addresses

Primary practice location

18300 Clear Brook Cir
Boca Raton, FL 33498-1947

Mailing address

18300 Clear Brook Cir
Boca Raton, FL 33498-1947
Phone (561) 305-4468

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041227000656 FL Practitioner - Chiropractic 1254399058 Reassigns benefits to 1 organization
Practice locations: Boca Raton, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH0007601FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Boca Back and Neck Center Inc Chiropractor CurrentSince Sep 29, 2021 Accepting new patients
Scott R. Braun, DC Chiropractor Past Accepting new patients

Locations

500 NE Spanish River Blvd
Ste 35
Boca Raton, FL 33431
Phone (561) 338-5111

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1336357409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18300 CLEAR BROOK CIR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334981947",
            "telephone_number": "561-305-4468",
            "fax_number": "561-852-2034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18300 CLEAR BROOK CIR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334981947",
            "telephone_number": "561-305-4468",
            "fax_number": "561-852-2034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUN",
        "first_name": "SCOTT",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0007601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.