Active NPI
Erik Robert Braun, ATC
- Athletic Trainer
- Fort Bragg, NC
National Provider Identifier
1497291314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2601002337
- Practice address
- 2817 Reilly St
Fort Bragg, NC 28310-1370 - Phone
- (910) 907-6000
- NPI assigned
- Jan 17, 2017
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2601002337 | MI | Primary |
Addresses
Primary practice location
2817 Reilly St
Fort Bragg, NC 28310-1370
Mailing address
419 Henry Ruff Rd
Garden City, MI 48135-1370
Phone (734) 308-5925
Other practice location 1
419 Henry Ruff Rd
Garden City, MI 48135-1370
Phone (734) 308-5925
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2601002337 | MI | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672617600000",
"number": "1497291314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "419 HENRY RUFF RD",
"city": "GARDEN CITY",
"state": "MI",
"postal_code": "481351370",
"telephone_number": "734-308-5925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2817 REILLY ST",
"city": "FORT BRAGG",
"state": "NC",
"postal_code": "283101370",
"telephone_number": "910-907-6000"
}
],
"practiceLocations": [
{
"address_1": "419 Henry Ruff Rd",
"address_purpose": "LOCATION",
"city": "Garden City",
"state": "MI",
"postal_code": "481351370",
"country_code": "US",
"telephone_number": "734-308-5925",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRAUN",
"first_name": "ERIK",
"middle_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-01-17",
"last_updated": "2023-01-02",
"certification_date": "2023-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MI",
"license": "2601002337",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Bragg, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.