Individual provider Active NPI

Braden Grant Lawyer

  • Physician Assistant
  • Evansville, IN
National Provider Identifier
1336896315
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10004091A Issued in IN
Practice address
1227 Lincoln Ave
Evansville, IN 47714-1043
Phone
(812) 259-5140
NPI assigned
Mar 9, 2022
Last updated
Aug 31, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10004091A IN Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

1227 Lincoln Ave
Evansville, IN 47714-1043

Mailing address

1227 Lincoln Ave
Evansville, IN 47714-1043
Phone (812) 259-5140

Other practice location 1

4007 Gateway Blvd Ste 100
Newburgh, IN 47630-8947
Phone (812) 842-0907

Other practice location 2

4209 Gateway Blvd
Newburgh, IN 47630-8900
Phone (812) 842-0907

Other practice location 3

350 W Columbia St Ste 310
Evansville, IN 47710-1782
Phone (812) 464-9133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230915002774 IN Practitioner - Physician Assistant 8921462466 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of ClayGroup PAC ID 0042101982, shared by 6 NPIs, 77 clinicians

Practice addresses (Care Compare)

350 W Columbia St
Suite 310
Evansville, IN 47710-1782
Phone (812) 464-9133

4209 Gateway Blvd
Newburgh, IN 47630-8900
Phone (812) 842-0907

600 Mary St
Evansville, IN 47710-1658
Phone (270) 827-8811

911 Stacey Burk Dr
Flora, IL 62839-3241
Phone (618) 662-2131

929 Stacey Burk Dr
Flora, IL 62839-3241
Phone (618) 662-2131

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.62 of 100Reported as group
Quality
72.6
Promoting interoperability
100
Improvement activities
40
Cost
69.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Speciality Physicians, Inc CurrentSince Sep 1, 2023 Accepting new patients
Deaconess Specialty Physicians Inc Physician Assistant CurrentSince Sep 1, 2023 Accepting new patients
Deaconess Specialty Physicians, Inc Physician Assistant Past Accepting new patients

Locations

350 W Columbia St
Ste 310
Evansville, IN 47710
Phone (812) 425-2646

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

4007 Gateway Blvd
Ste 100
Newburgh, IN 47630
Phone (812) 842-0907

4209 Gateway Blvd
Newburgh, IN 47630
Phone (812) 426-9855

Interoperability endpoints

  • Direct secure messaging: blawyer207797@direct.deaconess.com

Organizations & group practices 3

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1336896315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 LINCOLN AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477141043",
            "telephone_number": "812-259-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 LINCOLN AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477141043",
            "telephone_number": "812-259-5140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4007 Gateway Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Newburgh",
            "state": "IN",
            "postal_code": "476308947",
            "country_code": "US",
            "telephone_number": "812-842-0907",
            "fax_number": "812-490-7051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4209 Gateway Blvd",
            "address_purpose": "LOCATION",
            "city": "Newburgh",
            "state": "IN",
            "postal_code": "476308900",
            "country_code": "US",
            "telephone_number": "812-842-0907",
            "fax_number": "812-490-7051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "350 W Columbia St Ste 310",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477101782",
            "country_code": "US",
            "telephone_number": "812-464-9133",
            "fax_number": "812-464-0559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAWYER",
        "first_name": "BRADEN",
        "middle_name": "GRANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-09",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10004091A",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.