Individual provider Active NPI

John William Braun, DO

  • Diagnostic Radiology Physician
  • Saint Louis, MO
National Provider Identifier
1457884785
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2022017553 Issued in MO
Practice address
510 S Kingshighway Blvd
Dept Radiology
Saint Louis, MO 63110-1016
Phone
(314) 362-7200
Fax
(314) 747-4189
NPI assigned
Apr 4, 2017
Last updated
Mar 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 05-47455 KS
Diagnostic Radiology Physician 2085R0202X 2022017553 MO Primary

Addresses

Primary practice location

510 S Kingshighway Blvd
Dept Radiology
Saint Louis, MO 63110-1016

Mailing address

660 S Euclid Ave
CB 8131
Saint Louis, MO 63110-1010
Phone (314) 362-7200

Other practice location 1

300 Utah St
Hiawatha, KS 66434-2326
Phone (785) 742-2131

Other practice location 2

70 Doctors Park
Cape Girardeau, MO 63703-4928
Phone (573) 334-6071

Other practice location 3

1004 Progress Dr Ste 180&145
Lansing, KS 66043-6326
Phone (913) 297-3215

Other practice location 4

800 Ravenhill Dr
Atchison, KS 66002-9204
Phone (913) 367-2131

Other identifiers 3

IdentifierTypeStateIssuer
10030305400MedicaidNE
30004649070002MedicaidKS
004030034OtherKSPTAN

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220525001686 MO Practitioner - Diagnostic Radiology 1759659865 Reassigns benefits to 3 organizations
I20230719000353 KS Practitioner - Diagnostic Radiology 1759659865 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Marian University College of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Specialists of St Joseph PCGroup PAC ID 3173508512, 18 clinicians
Hiawatha Hospital Association IncGroup PAC ID 9032007364, shared by 5 NPIs, 47 clinicians

Practice addresses (Care Compare)

2016 S Main St
Maryville, MO 64468-2655
Phone (660) 562-2600

300 Utah St
Hiawatha, KS 66434-2326
Phone (785) 742-2131

3620 Frederick Ave
Saint Joseph, MO 64506-3016
Phone (816) 671-4846

5325 Faraon St
Saint Joseph, MO 64506-3488
Phone (816) 271-6000

705 N College St
Albany, MO 64402-1433
Phone (660) 726-3941

800 Ravenhill Dr
Atchison, KS 66002-9204
Phone (816) 271-7648

901 Heartland Rd
Suite 1800
Saint Joseph, MO 64506-6202
Phone (877) 605-5232

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.73 of 100Reported as group
Quality
100
Improvement activities
40
Cost
75.78

Merit-based Incentive Payment System (MIPS)

Final score
75.47 of 100Reported as group
Quality
81.87
Promoting interoperability
99
Improvement activities
40
Cost
30.23

Merit-based Incentive Payment System (MIPS)

Final score
87.36 of 100Reported as group
Quality
81.83
Promoting interoperability
99
Improvement activities
40
Cost
74.61

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
05-47455KSMDDiagnostic Radiology Physician
2022017553MOMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Miracl, LLC CurrentSince Jul 1, 2022 Accepting new patients
Hiawatha Hospital Association Inc CurrentSince Nov 1, 2025 Accepting new patients
Hiawatha Hospital Association Inc CurrentSince Dec 20, 2023 Accepting new patients
Radiology Specialists of St Joseph PC Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
Amberwell Atchison Association CurrentSince Nov 1, 2025 Accepting new patients
Hiawatha Hospital Association Inc Diagnostic Radiology CurrentSince Dec 20, 2023 Accepting new patients
Amberwell Atchison Association CurrentSince Nov 1, 2025 Accepting new patients
Washington University Diagnostic Radiology CurrentSince Jul 1, 2022 Accepting new patients
Amberwell Atchison Association Past Accepting new patients
Amberwell Atchison Association PastSince May 25, 2025 Accepting new patients

Locations

800 Ravenhill Dr
Atchison, KS 66002
Phone (913) 367-2131

300 Utah St
Hiawatha, KS 66434
Phone (785) 742-6286

1000 W 10th St
Rolla, MO 65401
Phone (573) 364-9000

5325 Faraon St
Saint Joseph, MO 64506
Phone (816) 271-3500

510 S Kingshighway Blvd
Saint Louis, MO 63110
Phone (314) 362-0177

660 S Euclid Ave
#8131
Saint Louis, MO 63110
Phone (314) 362-2809

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1457884785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 S EUCLID AVE",
            "address_2": "CB 8131",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101010",
            "telephone_number": "314-362-7200",
            "fax_number": "314-747-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 S KINGSHIGHWAY BLVD",
            "address_2": "DEPT RADIOLOGY",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101016",
            "telephone_number": "314-362-7200",
            "fax_number": "314-747-4189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Utah St",
            "address_purpose": "LOCATION",
            "city": "Hiawatha",
            "state": "KS",
            "postal_code": "664342326",
            "country_code": "US",
            "telephone_number": "785-742-2131",
            "fax_number": "785-742-6558",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "70 Doctors Park",
            "address_purpose": "LOCATION",
            "city": "Cape Girardeau",
            "state": "MO",
            "postal_code": "637034928",
            "country_code": "US",
            "telephone_number": "573-334-6071",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1004 Progress Dr Ste 180&145",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "KS",
            "postal_code": "660436326",
            "country_code": "US",
            "telephone_number": "913-297-3215",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Ravenhill Dr",
            "address_purpose": "LOCATION",
            "city": "Atchison",
            "state": "KS",
            "postal_code": "660029204",
            "country_code": "US",
            "telephone_number": "913-367-2131",
            "fax_number": "913-674-2024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAUN",
        "first_name": "JOHN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-04",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KS",
            "license": "05-47455",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2022017553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10030305400",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30004649070002",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "004030034",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "510 S Kingshighway Blvd",
            "address_2": "Dept Radiology",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631101016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.