Active NPI
Mary Patricia Braeuning, M.D.
- Diagnostic Radiology Physician
- Dayton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 35078139
- Practice address
- 1 Wyoming St
Dayton, OH 45409-2722 - Phone
- (937) 208-4076
- NPI assigned
- May 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 35078139 | OH | Primary |
Addresses
Primary practice location
1 Wyoming St
Dayton, OH 45409-2722
Mailing address
PO Box 750243
Dayton, OH 45475-0243
Phone (937) 709-5051
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2189500 | Medicaid | OH | |
| 200281470 | Medicaid | IN | |
| 64016207 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 76.49 of 100
- Quality
- 68.11
- Improvement activities
- 40
- Cost
- 80.1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35078139 | OH | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiology Physicians Inc | Diagnostic Radiology | Current | Accepting new patients |
| Professional Radiology Inc. | Diagnostic Radiology | Past | Accepting new patients |
| Miami Valley Hospital | Past | Accepting new patients | |
| Cincinnati Medical Imaging | Diagnostic Radiology | Past | Accepting new patients |
Locations (25 of 31)
1244 Meadow Bridge Dr
Beavercreek, OH 45434
Phone (937) 222-3118
2400 Lakeview Dr
Ste 100
Beavercreek, OH 45431
Phone (937) 429-4369
2400 Miami Valley Dr
Ste 210
Centerville, OH 45459
2300 Miami Valley Dr
Ste 150
Centerville, OH 45459
Phone (937) 280-8366
2400 Miami Valley Dr
Dayton, OH 45459
Phone (937) 208-8394
1530 Needmore Rd
Ste 301
Dayton, OH 45414
Phone (937) 938-9960
1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636
2300 Miami Valley Dr
Ste 350
Dayton, OH 45459
Phone (937) 424-2469
1222 S Patterson Blvd
Ste 360
Dayton, OH 45402
Phone (937) 496-2620
1520 S Main St
Dayton, OH 45409
Phone (937) 223-1279
9000 N Main St
Ste 333
Englewood, OH 45415
Phone (937) 832-8400
9000 N Main St
Ste 100
Englewood, OH 45415
9000 N Main St
Ste G
Englewood, OH 45415
9000 N Main St
Ste G-36
Englewood, OH 45415
Phone (937) 832-1093
742 Sweitzer St
Ste 3
Greenville, OH 45331
Phone (937) 459-5941
4940 Cottonville Rd
Jamestown, OH 45335
Phone (937) 298-4417
3120 Governors Place Blvd
Kettering, OH 45409
Phone (937) 208-6066
300 Austin West Blvd
Miamisburg, OH 45342
Phone (937) 388-7911
501 Atrium Dr
Middletown, OH 45005
Phone (937) 245-6320
4214 Grand Ave
Middletown, OH 45044
Phone (513) 727-8860
1 Medical Center Dr
Middletown, OH 45005
Phone (513) 424-2111
35 Overbrook Dr
Ste 100
Monroe, OH 45050
Phone (513) 539-7356
280 Looney Rd
Piqua, OH 45356
Phone (937) 440-4000
630 N Main St
Springboro, OH 45066
Phone (937) 748-4211
360 W Central Ave
Springboro, OH 45066
Phone (937) 208-7100
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Dayton, OH
- NPI 1851390850
-
- Diagnostic Radiology Physician
- Cincinnati, OH
- NPI 1649223223
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1073688354
-
- Diagnostic Radiology Physician
- Blue Ash, OH
- NPI 1043348014
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698710400000",
"number": "1558313676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 750243",
"city": "DAYTON",
"state": "OH",
"postal_code": "454750243",
"telephone_number": "937-709-5051",
"fax_number": "937-709-5050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 WYOMING ST",
"city": "DAYTON",
"state": "OH",
"postal_code": "454092722",
"telephone_number": "937-208-4076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAEUNING",
"first_name": "MARY",
"middle_name": "PATRICIA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-17",
"last_updated": "2023-10-31",
"certification_date": "2023-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OH",
"license": "35078139",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2189500",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200281470",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64016207",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.