Individual provider Active NPI

Gordon P Braun, PA-C

  • Medical Physician Assistant
  • Chambersburg, PA
National Provider Identifier
1386682425
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA003092L Issued in PA
Practice address
1000 Norland Ave
Chambersburg, PA 17201-4229
Phone
(717) 267-6363
Fax
(717) 217-6937
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA003092L PA Primary

Addresses

Primary practice location

1000 Norland Ave
Chambersburg, PA 17201-4229

Mailing address

785 5TH Avenue
Suite 3
Chambersburg, PA 17201-4232
Phone (717) 263-9555

Other practice location 1

601 E Main St
Waynesboro, PA 17268-2332
Phone (717) 765-5088

Other practice location 2

550 E 2nd St
Waynesboro, PA 17268-2352
Phone (717) 264-3278

Other practice location 3

1015 Philadelphia Ave
Chambersburg, PA 17201-1279
Phone (717) 264-3278

Other practice location 4

24 Antrim Commons Dr
Greencastle, PA 17225-1623
Phone (717) 593-0512

Other practice location 5

46 Walnut Bottom Rd
Shippensburg, PA 17257-8219
Phone (717) 477-2764

Other practice location 6

1624 Orchard Dr
Chambersburg, PA 17201-9206
Phone (717) 217-6915

Other identifiers 12

IdentifierTypeStateIssuer
25-1716306OtherDEVON
50094063OtherPACAPITAL BLUE CROSS
25-1716306OtherPAPHCS/MULTIPLAN
867633OtherPAMEDICARE GROUP #
103149700MedicaidPA
1386682425OtherPAHEALTH ASSURANCE
25-1716306OtherFIRST HEALTH
626766OtherPAAETNA
25-1716306OtherTRICARE
25-1716306OtherPAINTERGROUP
25-1716306OtherINFORMED
MA003092LOtherPALICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20040609000085 PA Practitioner - Physician Assistant 1153304571 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pennsylvania Urgent Care Centers, PLLCGroup PAC ID 8123200631, 107 clinicians

Practice addresses (Care Compare)

150 E Pennsylvania Ave
Downingtown, PA 19335-2657
Phone (610) 518-1060

3201 Market St
Camp Hill, PA 17011-4422
Phone (717) 857-6766

49 Prince St
Harrisburg, PA 17109-3113
Phone (717) 901-3440

780 N Krocks Rd
Suite 101B
Allentown, PA 18106-9075
Phone (610) 365-3354

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Oct 21, 2019 Accepting new patients
Sadler Health Center Corporation CurrentSince Dec 13, 2023 Accepting new patients
Wellspan Medical Group CurrentSince Oct 21, 2019 Accepting new patients
Cardiology Diagnostic Associates, LLC Past Accepting new patients
Atlantic Physician Services of Maryland, PC Past Accepting new patients
Cumberland Pathology Associates, LLC Past Accepting new patients
Lancaster Hma Physician Management, LLC Past Accepting new patients

Locations

100 N Hanover St
Carlisle, PA 17013
Phone (717) 218-6670

1 Tyler Ct
Ste 2
Carlisle, PA 17015

2075 Scotland Ave
Chambersburg, PA 17201
Phone (717) 217-6055

1015 Philadelphia Ave
Chambersburg, PA 17201
Phone (717) 264-3278

1000 Norland Ave
Chambersburg, PA 17201
Phone (717) 267-6363

24 Antrim Commons Dr
Greencastle, PA 17225
Phone (717) 593-0512

300 Highland Ave
Hanover, PA 17331
Phone (717) 316-3711

5210 E Trindle Rd
Mechanicsburg, PA 17050
Phone (717) 218-6670

46 Walnut Bottom Rd
Shippensburg, PA 17257
Phone (717) 477-2764

601 E Main St
Waynesboro, PA 17268
Phone (717) 765-5085

501 E Main St
Waynesboro, PA 17268
Phone (717) 765-3400

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

Interoperability endpoints

  • Direct secure messaging: gordon.braun.1@15936.direct.athenahealth.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1386682425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 5TH AVENUE",
            "address_2": "SUITE 3",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172014232",
            "telephone_number": "717-263-9555",
            "fax_number": "717-217-4218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 NORLAND AVE",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172014229",
            "telephone_number": "717-267-6363",
            "fax_number": "717-217-6937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 E Main St",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "PA",
            "postal_code": "172682332",
            "country_code": "US",
            "telephone_number": "717-765-5088",
            "fax_number": "717-765-5066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 E 2nd St",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "PA",
            "postal_code": "172682352",
            "country_code": "US",
            "telephone_number": "717-264-3278",
            "fax_number": "717-262-4494",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1015 Philadelphia Ave",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011279",
            "country_code": "US",
            "telephone_number": "717-264-3278",
            "fax_number": "717-262-4494",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24 Antrim Commons Dr",
            "address_purpose": "LOCATION",
            "city": "Greencastle",
            "state": "PA",
            "postal_code": "172251623",
            "country_code": "US",
            "telephone_number": "717-593-0512",
            "fax_number": "717-267-6135",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "46 Walnut Bottom Rd",
            "address_purpose": "LOCATION",
            "city": "Shippensburg",
            "state": "PA",
            "postal_code": "172578219",
            "country_code": "US",
            "telephone_number": "717-477-2764",
            "fax_number": "717-217-4207",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1624 Orchard Dr",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172019206",
            "country_code": "US",
            "telephone_number": "717-217-6915",
            "fax_number": "717-462-6859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAUN",
        "first_name": "GORDON",
        "middle_name": "P",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2023-03-07",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA003092L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEVON",
            "identifier": "25-1716306",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50094063",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS/MULTIPLAN",
            "identifier": "25-1716306",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "867633",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103149700",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ASSURANCE",
            "identifier": "1386682425",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "25-1716306",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "626766",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "25-1716306",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERGROUP",
            "identifier": "25-1716306",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INFORMED",
            "identifier": "25-1716306",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "MA003092L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chambersburg, PA

Sources for this page

Verify at the official NPI Registry.