Individual provider Active NPI

Michelle K Braun, PA

  • Physician Assistant
  • Baltimore, MD
National Provider Identifier
1356317614
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0003138 Issued in MD
Practice address
301 St Paul Place
5TH Floor
Baltimore, MD 21202
Phone
(410) 332-9404
Fax
(410) 347-5599
NPI assigned
Feb 27, 2006
Last updated
Feb 25, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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 C0003138 MD Primary
Surgical Physician Assistant 363AS0400X C0003138 MD

Addresses

Primary practice location

301 St Paul Place
5TH Floor
Baltimore, MD 21202

Mailing address

PO Box 64028
Baltimore, MD 21264-4028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20070130000258 MD Practitioner - Physician Assistant 7911908207 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nasseri Clinic of Arthritic & Rheumatic Diseases LLC CurrentSince Nov 17, 2023 Accepting new patients
St Paul Place Specialists Inc CurrentSince Feb 19, 2013 Accepting new patients
St. Paul Place Specialists, Inc. CurrentSince Feb 19, 2013 Accepting new patients

Locations

301 Saint Paul St
Baltimore, MD 21202
Phone (410) 385-4930

700 Geipe Rd
Ste 200
Catonsville, MD 21228
Phone (410) 292-0038

700 Geipe Rd
Ste 266
Catonsville, MD 21228
Phone (410) 971-0642

724 Maiden Choice Ln
Ste 204
Catonsville, MD 21228
Phone (410) 744-6544

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IGJGAA

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203897600000",
    "number": "1356317614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64028",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 ST PAUL PLACE",
            "address_2": "5TH FLOOR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21202",
            "telephone_number": "410-332-9404",
            "fax_number": "410-347-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUN",
        "first_name": "MICHELLE",
        "middle_name": "K",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-27",
        "last_updated": "2008-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0003138",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MD",
            "license": "C0003138",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.