Individual provider Active NPI

David A Brauner, DO

  • Pediatrics Physician
  • Chico, CA
National Provider Identifier
1346213196
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
18384 Issued in CA
Practice address
1515 Springfield Dr
Chico, CA 95928-5995
Phone
(530) 781-1440
NPI assigned
Feb 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2018 AK
Pediatric Cardiology Physician 2080P0202X 2018 AK
Pediatrics Physician 208000000X 18384 CA Primary

Addresses

Primary practice location

1515 Springfield Dr
Chico, CA 95928-5995

Mailing address

PO Box 200368
Anchorage, AK 99520-0368
Phone (907) 770-2380

Other practice location 1

3260 Providence Dr
Ste 321
Anchorage, AK 99508
Phone (907) 261-3655

Other identifiers 1

IdentifierTypeStateIssuer
MD9968MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110629000019 TX Practitioner - Pediatric MedicinePractitioner - Cardiovascular Disease (Cardiology) 6103914940 Reassigns benefits to 1 organization
I20230214002105 OR Practitioner - Emergency Medicine 6103914940 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2018AKMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bristol Bay Area Health Corporation CurrentSince May 30, 2018 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Healthcare for the Mid-Columbia Region Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Mid-Columbia Medical Center CurrentSince Mar 1, 2023 Accepting new patients
Bristol Bay Area Health Corporation CurrentSince May 30, 2018 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corportation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corportion Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corportion Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Fairbanks Memorial Cardiology Center, LLC Past Accepting new patients
Fairbanks Memorial Cardiology Center Past Accepting new patients
David a Brauner PastSince Aug 1, 2007 Accepting new patients
Mid-Columbia Medical Center Pediatrics Past Accepting new patients
Mid-Columbia Medical Center Past Accepting new patients

Locations

1805 E 19th St
The Dalles, OR 97058
Phone (541) 296-2201

1700 E 19th St
The Dalles, OR 97058
Phone (541) 296-7251

Interoperability endpoints

  • Direct secure messaging: dbrauner157612@direct.ohsu.edu

Organizations & group practices 26

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.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1346213196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 200368",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995200368",
            "telephone_number": "907-770-2380",
            "fax_number": "907-770-2390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 SPRINGFIELD DR",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959285995",
            "telephone_number": "530-781-1440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3260 Providence Dr",
            "address_2": "Ste 321",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "99508",
            "country_code": "US",
            "telephone_number": "907-261-3655",
            "fax_number": "907-261-3160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAUNER",
        "first_name": "DAVID",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AK",
            "license": "2018",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "AK",
            "license": "2018",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "18384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD9968",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.