Heidi Marlies Braun, M.D.
Individual provider Active NPI Internal Medicine Physician · Pooler, GA
NPI 1508943309 · NPPES record last updated Oct 29, 2013
Key facts
- NPI
- 1508943309
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 053677 (GA)
- Practice address
- 114 Canal St
BLDG. 500
Pooler, GA 31322-4153 - Phone
- (912) 450-8000
- Fax
- (912) 450-8001
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 1, 2017 through Jul 1, 2027
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 053677 | GA | Yes |
Addresses
Primary practice location
114 Canal St
BLDG. 500
Pooler, GA 31322-4153
Mailing address
110 Mallard Dr
Savannah
Savannah, GA 31419-9069
Phone (912) 856-0355
Other providers in Pooler, GA
- Robert Nolan Brackenrich
- Tiana Branch
- Alyson Branscum
- Kylie Kanehl Brantley
- Braun Internal Medicine, P.C.
- Brave Tomorrow Counseling and Consulting
- Caitlin Breitweiser
- Arion Imani Brevard
- Bridge Hospice LLC
- Linda Camille Brinson
All providers in Pooler, GA · Internal Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.