Stephanie Brooke Braun, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

22DI03051500 Issued in NJ

Practice address

19 Harker Ave
Berlin, NJ 08009-2331

Phone

(856) 768-3332

NPI assigned

Jul 10, 2024

Last updated

Jul 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1548007339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4021 HAMILTON DR",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080433119",
            "telephone_number": "267-600-1348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 HARKER AVE",
            "city": "BERLIN",
            "state": "NJ",
            "postal_code": "080092331",
            "telephone_number": "856-768-3332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 Stokes Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "NJ",
            "postal_code": "080552914",
            "country_code": "US",
            "telephone_number": "856-662-4930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7535 Maple Ave",
            "address_purpose": "LOCATION",
            "city": "Pennsauken",
            "state": "NJ",
            "postal_code": "081093393",
            "country_code": "US",
            "telephone_number": "856-662-4930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAUN",
        "first_name": "STEPHANIE",
        "middle_name": "BROOKE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI03051500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Berlin, NJ
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.