Breanna Marie Braun, MA, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

732-039 Issued in WI

Practice address

3117 Shore Dr
Marinette, WI 54143-4293

Phone

(715) 732-8200

Fax

(715) 732-8203

NPI assigned

Nov 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Breanna Marie Salus Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508930637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 MESSENGER AVE",
            "city": "OCONTO",
            "state": "WI",
            "postal_code": "541531046",
            "telephone_number": "715-938-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3117 SHORE DR",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541434293",
            "telephone_number": "715-732-8200",
            "fax_number": "715-732-8203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUN",
        "first_name": "BREANNA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MA, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WI",
            "license": "732-039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BREANNA",
            "last_name": "SALUS",
            "middle_name": "MARIE",
            "credential": "ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• William E Bourgeois, O.D.
• Cheryl Anne Bowman, MSW, APSW, SAC
• Brian E Bozelka, MD PHD
• Mary Elizabeth Brandner, LCSW
• Kathy Ann Brattain, APNP
• Candace T Breault, LCSW
• Ashley T Bretl, D-PT
• Brian E. Bozelka, MD SC (Bay View Ophthalmology)
• John P Briody, M.D., SC
• Leigh Brooks, OTR

• Athletic Trainer in Marinette, WI
• Providers in Marinette, WI by specialty
• Athletic Trainer in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.