Amber Rose Brautigam

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

315 Fuller Ave SE # 2
Grand Rapids, MI 49506-1639

Phone

(231) 360-5683

NPI assigned

May 15, 2017

Last updated

May 15, 2017By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1494806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494806400000",
    "number": "1528595055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 FULLER AVE SE # 2",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495061639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 FULLER AVE SE # 2",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495061639",
            "telephone_number": "231-360-5683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUTIGAM",
        "first_name": "AMBER",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-15",
        "last_updated": "2017-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Braune
• Laura Borst Braunohler, RN, MSN, ANP
• Walter M Braunohler, M.D.
• CHI L Braunreiter, MD
• Dustin J Braunreiter, MD
• Brave Grand Rapids LLC
• Shawn Bravo
• Charles P Bray, PA-C
• Hannah Lynn Bray, MD
• Jamie Michelle Bray, PA-C

• Rehabilitation Practitioner in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Rehabilitation Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2017; 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.