Organization Active NPI

Stephen T Braun DO PLLC

  • Family Medicine Physician
  • Southampton, NY
National Provider Identifier
1487847869
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
208224 Issued in NY
Legal business name
STEPHEN T BRAUN DO PLLC
Practice address
349 Meeting House LN
Southampton, NY 11968-5051
Phone
(631) 377-3630
Fax
(631) 377-3631
NPI assigned
Aug 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Stephen T Braun DO PLLC, D.O.
Title
Owner
Phone
(631) 377-3630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 208224 NY Primary

Addresses

Primary practice location

349 Meeting House LN
Southampton, NY 11968-5051

Mailing address

349 Meeting House LN
Southampton, NY 11968-5051
Phone (631) 377-3630

Other practice location 1

219 Noyac Rd
Southampton, NY 11968-1440
Phone (631) 259-2199

Other names 2

  • Southampton Osteopathy Doing business as
  • southampton osteopathy/healing osteopathic touch Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1487847869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 MEETING HOUSE LN",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119685051",
            "telephone_number": "631-377-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 MEETING HOUSE LN",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119685051",
            "telephone_number": "631-377-3630",
            "fax_number": "631-377-3631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "219 Noyac Rd",
            "address_purpose": "LOCATION",
            "city": "Southampton",
            "state": "NY",
            "postal_code": "119681440",
            "country_code": "US",
            "telephone_number": "631-259-2199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STEPHEN T BRAUN DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2022-07-21",
        "certification_date": "2021-10-14",
        "status": "A",
        "authorized_official_last_name": "BRAUN DO PLLC",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-377-3630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "208224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southampton Osteopathy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "southampton osteopathy/healing osteopathic touch",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southampton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.