Active NPI
Donald Frank Brautigam, MD
- Family Medicine Physician
- Westfield, NY
National Provider Identifier
1407821986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 137216
- Practice address
- 138 E Main St
Westfield, NY 14787-1121 - Phone
- (716) 326-4678
- Fax
- (716) 326-4914
- NPI assigned
- Feb 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 137216 | NY | Primary |
Addresses
Primary practice location
138 E Main St
Westfield, NY 14787-1121
Mailing address
138 E Main St
PO Box 10
Westfield, NY 14787-1121
Phone (716) 326-4678
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00632013 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051107000874 | NY | Practitioner - Family Practice | 4183608995 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- State University of Ny Upstate Medical University, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
138 E Main St
Westfield, NY 14787-1121
Phone (716) 326-4678
Hospital & facility affiliations
- Vna of Western Ny Chha
- Chautauqua Hospice and Palliative Care
- Westfield Memorial Hospital, Inc
- Westfield Memorial Hospital, Inc
- Brooks-TLC Hospital System, Inc
- Upmc Chautauqua at Wca
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 137216 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westfield Family Physicians,PC | Current | Accepting new patients | |
| Westfield Family Physicians | Past | Accepting new patients | |
| Westfield Familyphysicians | Past | Accepting new patients | |
| Westfield Memorial Hospital, Inc. | Past | Accepting new patients |
Locations
138 E Main St
Westfield, NY 14787
Phone (716) 326-4678
Interoperability endpoints
- drbrautigam@wfp.medentdirect.com
Organizations & group practices 4
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.
-
- Medical Physician Assistant
- Sherman, NY
- NPI 1568495877
-
- Primary Care Clinic/Center
- Westfield, NY
- NPI 1487743498
-
- General Acute Care Hospital
- Westfield, NY
- NPI 1942236427
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Derby, NY
- NPI 1225654494
Hospital
-
- Community Based Hospice Care Agency
- Lakewood, NY
- NPI 1639255250
Hospice
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Jamestown, NY
- NPI 1568023687
Hospital
-
- Home Health Agency
- Cheektowaga, NY
- NPI 1730268384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254096000000",
"number": "1407821986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 E MAIN ST",
"address_2": "PO BOX 10",
"city": "WESTFIELD",
"state": "NY",
"postal_code": "147871121",
"telephone_number": "716-326-4678",
"fax_number": "716-326-4914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "138 E MAIN ST",
"city": "WESTFIELD",
"state": "NY",
"postal_code": "147871121",
"telephone_number": "716-326-4678",
"fax_number": "716-326-4914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAUTIGAM",
"first_name": "DONALD",
"middle_name": "FRANK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-20",
"last_updated": "2009-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "137216",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00632013",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westfield, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2009; 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.