Mark A Braniecki, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

5101009398 Issued in MI

Practice address

944 Baldwin Rd
Suite a
Lapeer, MI 48446-3089

Phone

(810) 245-5562

Fax

(810) 245-7838

NPI assigned

Sep 1, 2006

Last updated

Nov 17, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Interoperability endpoints

• Direct secure messaging: markbraniecki@pmi.allscriptsdirect.net
• Direct secure messaging: mbraniecki1118573@direct.hfhs.org

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321488000000",
    "number": "1558463695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "944 BALDWIN RD",
            "address_2": "STE A",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484463089",
            "telephone_number": "810-245-5562",
            "fax_number": "810-245-7838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "944 BALDWIN RD",
            "address_2": "SUITE A",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484463089",
            "telephone_number": "810-245-5562",
            "fax_number": "810-245-7838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANIECKI",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2011-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "5101009398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4069488",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Brace
• Cameron G Brackins
• Kimberly J. Bradley, LBSW
• Tyler Joshua Bradley, PHARM.D.
• Ashley Brafman, RD
• Jazmin Brecht
• Julie A Brennan
• William Michael Brennan
• Bright Beginnings HC
• Nancy K Brinker, DO

• Pediatrics Physician in Lapeer, MI
• Providers in Lapeer, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; 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.