NPIMap

Individual provider Active NPI

Andrew Timothy Braun, P.A.-C.

  • Surgical Physician Assistant
  • Warren, PA
National Provider Identifier
1356696751
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
MA059772 Issued in PA
Practice address
2 W Crescent Park
Warren, PA 16365-2111
Phone
(814) 406-0035
Fax
(814) 726-9415
NPI assigned
Jul 23, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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 PA9106684 FL
Surgical Physician Assistant 363AS0400X MA059772 PA Primary

Addresses

Primary practice location

2 W Crescent Park
Warren, PA 16365-2111

Mailing address

2 W Crescent Park
Warren, PA 16365-2111
Phone (814) 723-3300

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address andrewbraun@wagho.allscriptsdirect.net

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180725001166 PA Practitioner - Physician Assistant 4789834284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Warren General HospitalGroup PAC ID 4880501402, 100 clinicians

Practice addresses (Care Compare)

2 W Crescent Park
Warren, PA 16365-2111

Hospital & facility affiliations

  • Warren General Hospital Hospital, Warren, PA, CCN 391319
  • Warren General Hospital Hospital, Warren, PA, CCN 390146

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Warren General Hospital CurrentSince Jul 9, 2018 Accepting new patients
Warren General Hospital CurrentSince Jul 9, 2018 Accepting new patients
Warren Medical Group Inc Past Accepting new patients

Locations

17 Tollgate Rd
Sheffield, PA 16347
Phone (814) 593-1215

2 W Crescent Park
Warren, PA 16365
Phone (814) 452-5337

103 W Saint Clair St
Rm 2A
Warren, PA 16365
Phone (814) 723-1212

Interoperability endpoints

  • Direct secure messaging: andrewbraun@wagho.allscriptsdirect.net
  • Direct secure messaging: andrewbraun@directaddress.net

Organizations & group practices 11

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.

Hospital & facility affiliations 3

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": "1343001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1356696751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W CRESCENT PARK",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163652111",
            "telephone_number": "814-723-3300",
            "fax_number": "814-723-8952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W CRESCENT PARK",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163652111",
            "telephone_number": "814-406-0035",
            "fax_number": "814-726-9415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUN",
        "first_name": "ANDREW",
        "middle_name": "TIMOTHY",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-23",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9106684",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA059772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andrewbraun@wagho.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "2 W Crescent Park",
            "city": "Warren",
            "state": "PA",
            "country_code": "US",
            "postal_code": "163652111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Warren, PA

Sources for this page

Verify at the official NPI Registry.