Active NPI
Larry Braunstein, MD
- Vascular & Interventional Radiology Physician
- Mountain Top, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- MD056535L
- Practice address
- 14 Pine St
Mountain Top, PA 18707-1311 - Phone
- (952) 595-1100
- Fax
- (612) 294-4903
- NPI assigned
- Sep 28, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD056535L | PA | |
| Vascular & Interventional Radiology Physician | 2085R0204X | MD056535L | PA | Primary |
Addresses
Primary practice location
14 Pine St
Mountain Top, PA 18707-1311
Mailing address
11995 Singletree LN
Suite 500
Eden Prairie, MN 55344-5347
Phone (952) 595-1301
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040426000680 | PA | Practitioner - Interventional Radiology | 5294721072 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Radiology
- Education
- Hahnemann University College of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Medical Imaging of Lehigh Valley PCLehigh Valley Physician Group
Practice addresses (Care Compare)
1200 S Cedar Crest Blvd
Allentown, PA 18103-6202
Phone (610) 770-1606
1220 S Cedar Crest Blvd
Allentown, PA 18103-6202
Phone (610) 740-9500
700 E Broad St
Hazelton, PA 18201-6835
Phone (570) 501-4000
Hospital & facility affiliations
- Lehigh Valley Hospital - Hazleton
- Lehigh Valley Hospital
- Schuylkill Medical Center - South Jackson Street
- Lehigh Valley Hospital - Pocono
- Lehigh Valley Hospital - Macungie
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD056535L | PA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Medical Imaging of Lehigh Valley PC | Diagnostic Radiology | Current | Accepting new patients |
| Garden State Healthcare Associates, LLC | Current | Accepting new patients | |
| Littleton Hospital Association | Past | Accepting new patients | |
| Premier Radiology Associates PC | Diagnostic Radiology | Past | Accepting new patients |
| Lehigh Valley Diagnostic Imaging | Past | Accepting new patients | |
| Lehigh Valley Hospital Hazleton | Past | Accepting new patients | |
| Hazleton Radiology Associates | Diagnostic Radiology | Past | Accepting new patients |
| FRG Central PA PC | Diagnostic Radiology | Past | Accepting new patients |
| Scranton Hospitalist Physician Services LLC | Diagnostic Radiology | Past | Accepting new patients |
| Geisinger Clinic | Past | Accepting new patients | |
| Vision Imaging of Lebanon LLC | Diagnostic Radiology | Past | Accepting new patients |
| Geisinger Clinic Selinsgrove | Diagnostic Radiology | Past | Accepting new patients |
Locations (25 of 47)
1250 S Cedar Crest Blvd
Ste 100
Allentown, PA 18103
Phone (610) 435-1600
1243 S Cedar Crest Blvd
Allentown, PA 18103
Phone (610) 402-9230
1220 S Cedar Crest Blvd
Allentown, PA 18103
Phone (610) 740-0400
1230 S Cedar Crest Blvd
Ste 103
Allentown, PA 18103
Phone (610) 402-4691
1240 S Cedar Crest Blvd
Ste 203
Allentown, PA 18103
Phone (610) 402-0690
1230 S Cedar Crest Blvd
Ste 202
Allentown, PA 18103
Phone (610) 402-4691
2100 Mack Blvd
Allentown, PA 18103
Phone (484) 224-1892
1200 S Cedar Crest Blvd
Allentown, PA 18103
Phone (484) 862-3200
1247 S Cedar Crest Blvd
Ste 102
Allentown, PA 18103
Phone (610) 402-1022
1255 S Cedar Crest Blvd
Ste 2500
Allentown, PA 18103
Phone 6103724957550
4815 W Tilghman St
Allentown, PA 18104
Phone (610) 402-3903
1230 S Cedar Crest Blvd
Ste 104
Allentown, PA 18103
Phone (610) 402-1070
1627 Chew St
Allentown, PA 18102
Phone (610) 969-2388
6649 Chrisphalt Dr
Bath, PA 18014
Phone (610) 837-3181
2597 Schoenersville Rd
Ste 202
Bethlehem, PA 18017
Phone (484) 884-2460
1770 Bathgate Rd
Ste 100
Bethlehem, PA 18017
Phone (484) 884-1032
2545 Schoenersville Rd
Bethlehem, PA 18017
Phone (484) 884-2888
1770 Bathgate Rd
Ste 200
Bethlehem, PA 18017
Phone (484) 884-2249
2101 Emrick Blvd
Bethlehem, PA 18020
Phone (484) 895-3300
5683 Route 115
Blakeslee, PA 18610
Phone (570) 355-7100
120 Burrus Blvd
Brodheadsville, PA 18322
Phone (570) 402-6101
1592 Route 739
Dingmans Fry, PA 18328
Phone (570) 828-1900
206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951
400 Plaza Ct
Ofc Plz
East Stroudsburg, PA 18301
200 E Brown St
East Stroudsburg, PA 18301
Phone (570) 476-3700
Organizations & group practices 19
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.
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- NPI 1174257513
-
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- NPI 1215197975
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- East Stroudsburg, PA
- NPI 1245093368
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- NPI 1487805693
Diagnostic Radiology
-
- Family Medicine Physician
- Scranton, PA
- NPI 1184248668
-
- Family Medicine Physician
- Selinsgrove, PA
- NPI 1780642165
Diagnostic Radiology
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Pottsville, PA
- NPI 1235138405
Hospital
-
- General Acute Care Hospital
- East Stroudsburg, PA
- NPI 1568459436
Hospital
-
- General Acute Care Hospital
- Pottsville, PA
- NPI 1427050376
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573516800000",
"number": "1629065370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11995 SINGLETREE LN",
"address_2": "SUITE 500",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553445347",
"telephone_number": "952-595-1301",
"fax_number": "612-294-4903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 PINE ST",
"city": "MOUNTAIN TOP",
"state": "PA",
"postal_code": "187071311",
"telephone_number": "952-595-1100",
"fax_number": "612-294-4903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAUNSTEIN",
"first_name": "LARRY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-28",
"last_updated": "2019-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD056535L",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "PA",
"license": "MD056535L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mountain Top, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.