Organization Active NPI

Braulio Flores, MD, PLLC

  • Internal Medicine Physician
  • Bronxville, NY
National Provider Identifier
1396945051
Registry record updated Mar 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
223994 Issued in NY
Legal business name
BRAULIO FLORES, MD, PLLC
Practice address
1 Stone PL
Suite 302
Bronxville, NY 10708-3426
Phone
(914) 202-7740
Fax
(914) 346-8266
NPI assigned
Jul 20, 2007
Last updated
Mar 12, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2009

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

Authorized official

Name
Dr. Braulio Flores, M.D.
Title
Physician
Phone
(914) 202-7740

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 223994 NY Primary
Adolescent Medicine (Internal Medicine) Physician 207RA0000X 223994 NY
Sports Medicine (Internal Medicine) Physician 207RS0010X 223994 NY
Pediatrics Physician 208000000X 223994 NY
Pediatric Adolescent Medicine Physician 2080A0000X 223994 NY
Pediatric Sports Medicine Physician 2080S0010X 223994 NY

Addresses

Primary practice location

1 Stone PL
Suite 302
Bronxville, NY 10708-3426

Mailing address

1 Stone PL
Suite 302
Bronxville, NY 10708-3426
Phone (914) 202-7740

Other identifiers 11

IdentifierTypeStateIssuer
0174622OtherNYGHI
02769449OtherNYMAGNACARE
219924601OtherNYUNITED HEALTHCARE
2239941OtherNYHIP
5333768OtherNYAETNA PPO
0739492OtherNYCIGNA
6C5961OtherNYHEALTH NET
3705930OtherNYAETNA HMO
683AC1OtherNYEMPIRE BLUE CROSS/SHEILD
P340056OtherNYOXFORD
000000119735OtherNYGHI HMO

National Provider Directory

National Provider Directory

Locations

1 Stone Pl
Ste 302
Bronxville, NY 10708
Phone (914) 337-0754

1 Stone Pl
Ste 303
Bronxville, NY 10708
Phone (914) 202-7740

NPI Registry JSON

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236816000000",
    "number": "1396945051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 STONE PL",
            "address_2": "SUITE 302",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107083426",
            "telephone_number": "914-202-7740",
            "fax_number": "914-346-8266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 STONE PL",
            "address_2": "SUITE 302",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107083426",
            "telephone_number": "914-202-7740",
            "fax_number": "914-346-8266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAULIO FLORES, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2009-03-12",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "BRAULIO",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "914-202-7740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "223994",
            "primary": true
        },
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "NY",
            "license": "223994",
            "primary": false
        },
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "NY",
            "license": "223994",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "223994",
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NY",
            "license": "223994",
            "primary": false
        },
        {
            "code": "2080S0010X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sports Medicine",
            "state": "NY",
            "license": "223994",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0174622",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGNACARE",
            "identifier": "02769449",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "219924601",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "2239941",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "5333768",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0739492",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "6C5961",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "3705930",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS/SHEILD",
            "identifier": "683AC1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P340056",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI HMO",
            "identifier": "000000119735",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronxville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; 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.