Active NPI
David A Brauner, DO
- Pediatrics Physician
- Chico, CA
National Provider Identifier
1346213196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 18384
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD9968 | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018 | AK | MD | Pediatrics Physician |
Practice roles
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
- 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.
-
- General Practice Physician
- The Dalles, OR
- NPI 1053409599
-
- Clinic/Center
- Koliganek, AK
- NPI 1013079607
-
- Clinic/Center
- Ekwok, AK
- NPI 1104988799
-
- Clinic/Center
- Pilot Point, AK
- NPI 1174683825
-
- Clinic/Center
- Platinum, AK
- NPI 1285796870
-
- Clinic/Center
- Levelock, AK
- NPI 1366502767
-
- Clinic/Center
- South Naknek, AK
- NPI 1417018193
-
- Clinic/Center
- Twin Hills, AK
- NPI 1487716825
-
- Clinic/Center
- Chignik Lagoon, AK
- NPI 1578623641
-
- Clinic/Center
- Egegik, AK
- NPI 1699836007
-
- Clinic/Center
- New Stuyahok, AK
- NPI 1720148976
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.