Brauer Dermatology, PLLC.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

BRAUER DERMATOLOGY, PLLC.

Practice address

3000 Westchester Ave Ste 201
Purchase, NY 10577-2563

Phone

(631) 707-9960

Fax

(631) 706-9040

NPI assigned

Feb 10, 2021

Organization subpart

No

Name

Jeremy Brauer, MD

Title

MD/President

Phone

(631) 707-9960

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 19, 2021.

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621382400000",
    "number": "1386236347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 WESTCHESTER AVE STE 201",
            "city": "PURCHASE",
            "state": "NY",
            "postal_code": "105772563",
            "telephone_number": "631-706-9960",
            "fax_number": "631-706-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 WESTCHESTER AVE STE 201",
            "city": "PURCHASE",
            "state": "NY",
            "postal_code": "105772563",
            "telephone_number": "631-707-9960",
            "fax_number": "631-706-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAUER DERMATOLOGY, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-10",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A",
        "authorized_official_last_name": "BRAUER",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "MD/PRESIDENT",
        "authorized_official_telephone_number": "631-707-9960",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1417451865",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bianca Bockhaus, OTR/L
• Benjamin Bonte, M.D.
• Sarah Jean Borchert, DPT
• Courtney Anne Brady
• Cindy Brand
• Theresa H Brewer, OTR/L
• Bridge Medical Distribution Network, LLC
• Melissa Broderick, PT, DPT
• Sherri Brodsky
• Charles Brown, PA-C

• All providers in Purchase, NY
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.