Organization Active NPI

Jonathan Bratter, DO Facog PA

  • Gynecology Physician
  • Banner Elk, NC
National Provider Identifier
1437856853
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
JONATHAN BRATTER, DO FACOG PA
Practice address
141 Shaneehaw Ave South
Banner Elk, NC 28604
Phone
(828) 357-7314
Fax
(828) 372-4679
NPI assigned
Feb 15, 2023
Last updated
Aug 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Authorized official

Name
Jonathan David Bratter, DONPI 1891904850
Title
President
Phone
(954) 261-4170

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X Primary

Addresses

Primary practice location

141 Shaneehaw Ave South
Banner Elk, NC 28604

Mailing address

3489 NW 82ND Ter
Pembroke Pines, FL 33024-3165
Phone (954) 559-3765

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230803004108 NC Part B Supplier - Clinic/Group Practice 2668833856 Receives reassigned benefits from 2 practitioners
Practice locations: Banner Elk, NC

National Provider Directory

National Provider Directory

Locations

1951 SW 172nd Ave
Ste 203
Miramar, FL 33029
Phone (954) 499-2505

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691452800000",
    "number": "1437856853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3489 NW 82ND TER",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330243165",
            "telephone_number": "954-559-3765",
            "fax_number": "954-447-2098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 SHANEEHAW AVE SOUTH",
            "city": "BANNER ELK",
            "state": "NC",
            "postal_code": "28604",
            "telephone_number": "828-357-7314",
            "fax_number": "828-372-4679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN BRATTER, DO FACOG PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A",
        "authorized_official_last_name": "BRATTER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-261-4170",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Banner Elk, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.