Active NPI
Jonathan Bratter, DO Facog PA
- Gynecology Physician
- Banner Elk, NC
National Provider Identifier
1437856853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jonathan David Bratter, DO
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physician Assistant
- Banner Elk, NC
- NPI 1407135106
-
- Chiropractor
- Banner Elk, NC
- NPI 1225153638
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.