Henry J Braner, PHYSICIAN ASSISTANT

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

001989 Issued in GA

Practice address

16TH Street Building 13514
Youth Challange Academy
Ft Stewart, GA 31315

Phone

(912) 242-6542

Fax

(912) 767-6445

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459123200000",
    "number": "1497866248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 PEAR ORCHARD LN",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304586767",
            "telephone_number": "912-489-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16TH STREET BUILDING 13514",
            "address_2": "YOUTH CHALLANGE ACADEMY",
            "city": "FT STEWART",
            "state": "GA",
            "postal_code": "31315",
            "telephone_number": "912-242-6542",
            "fax_number": "912-767-6445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANER",
        "first_name": "HENRY",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2016-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "001989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100000781A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna Marie Bradshaw Brubaker, LCSW
• Kristy Brady
• Hannah Elisabeth Bramblett, PT
• Maranda Branch, OTR
• Ann Elizabeth Brand, RN
• Brooke Brannen
• Emmett Brannen
• Nancy Breier, L.C.S.W.
• Jacqueline Denise Brewer, LMSW, CAC II
• Mary Katherine Brian, CRNA

• All providers in Ft Stewart, GA
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; 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.