Julie S Braun, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

2780 W Horizon Ridge Pkwy Ste 30
Henderson, NV 89052-3995

Phone

(702) 420-9551

NPI assigned

Jul 27, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NV, CA2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mavis N Matsumoto MD LLCGroup PAC ID 6800065012, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: julie.braun@398008301912068.direct.elationemr.com
• FHIR API: https://api.platform.athenahealth.com/13310/brand/1/csg/1/fhir/r4

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.

• Mavis N Matsumoto, MD, LLC

  • Primary Care Clinic/Center
  • Henderson, NV
  • NPI 1932497229
  Medicare reassignment Care Compare group
• Agata-Venger Partnership

  • Neurological Surgery Physician
  • Las Vegas, NV
  • NPI 1093772204
  NPD (past)
• Mavis N Matsumoto, MD, LLC

  • Non-Pharmacy Dispensing Site
  • Henderson, NV
  • NPI 1902174741
  NPD (past)

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

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1396745873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 W HORIZON RIDGE PKWY STE 30",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523995",
            "telephone_number": "702-992-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 W HORIZON RIDGE PKWY STE 30",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523995",
            "telephone_number": "702-420-9551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUN",
        "first_name": "JULIE",
        "middle_name": "S",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-27",
        "last_updated": "2023-05-03",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "PA710",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NV",
            "license": "PA710",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396745873",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "320311",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "DL549Z",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth Brandt, D.O.
• Stephanie Branom
• Stefanie Brant
• De Leon Brantley
• Mailo K. Brantner, NP-C
• Tatra Bray
• Breathe Free Allergy & Sinus Centers of Nevada
• Albert Paul Breaux
• Michelle Breaux
• Sarah Ivalue Breaux

• Physician Assistant in Henderson, NV
• Providers in Henderson, NV by specialty
• Physician Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.