Individual provider Active NPI

Evan Braun

  • Chiropractor
  • Uniontown, PA
National Provider Identifier
1508035031
Registry record updated Jan 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010048 Issued in PA
Practice address
105 Bierer LN
Upper Level
Uniontown, PA 15401-3117
Phone
(412) 417-3328
NPI assigned
Feb 28, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC010048 PA Primary

Addresses

Primary practice location

105 Bierer LN
Upper Level
Uniontown, PA 15401-3117

Mailing address

105 Bierer LN
Upper Level
Uniontown, PA 15401-3117
Phone (412) 417-3328

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090504000053 PA Practitioner - Chiropractic 8527116409 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC010048PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Braun Chiropracitc PC Chiropractor CurrentSince Jan 5, 2009 Accepting new patients

Locations

105 Bierer Ln
Uppr
Uniontown, PA 15401
Phone (724) 439-1088

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232496000000",
    "number": "1508035031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 BIERER LN",
            "address_2": "UPPER LEVEL",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154013117",
            "telephone_number": "412-417-3328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 BIERER LN",
            "address_2": "UPPER LEVEL",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154013117",
            "telephone_number": "412-417-3328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUN",
        "first_name": "EVAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-28",
        "last_updated": "2009-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; 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.

Verify at the official NPI Registry.