Individual provider Active NPI

Brooke Catherine Braman Landa, MD

  • Student in an Organized Health Care Education/Training Program
  • San Fransciso, CA
National Provider Identifier
1356044069
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
500 Parnassus Ave
Mu 250 East
San Fransciso, CA 94143
Phone
(415) 476-4562
NPI assigned
Mar 22, 2023
Last updated
Jun 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU Primary

Addresses

Primary practice location

500 Parnassus Ave
Mu 250 East
San Fransciso, CA 94143

Mailing address

500 Parnassus Ave
San Francisco, CA 94143-2203
Phone (303) 318-1540

Other names 1

  • Brooke Catherine Braman Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, CA2 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
I20230810000114 CO Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 7719349679
I20251202003701 CA Order and Referring Only - Radiation OncologyPractitioner - Radiation Oncology 7719349679

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1356044069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 PARNASSUS AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432203",
            "telephone_number": "303-318-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PARNASSUS AVE",
            "address_2": "MU 250 EAST",
            "city": "SAN FRANSCISO",
            "state": "CA",
            "postal_code": "94143",
            "telephone_number": "415-476-4562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAMAN LANDA",
        "first_name": "BROOKE",
        "middle_name": "CATHERINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-22",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOKE",
            "last_name": "BRAMAN",
            "middle_name": "CATHERINE",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Sources for this page

Verify at the official NPI Registry.