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

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

• Breanna Marie Salus Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "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
• John P Briody, M.D., SC
• Leigh Brooks, OTR

• All providers in Marinette, WI
• 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.