Individual provider Active NPI

Larry Braunstein, MD

  • Vascular & Interventional Radiology Physician
  • Mountain Top, PA
National Provider Identifier
1629065370
Registry record updated Nov 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
MD056535L Issued in PA
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

Updated by the provider on Nov 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040426000680 PA Practitioner - Interventional RadiologyPractitioner - Internal MedicinePractitioner - Diagnostic Radiology 5294721072 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic 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 PC 115 clinicians
Lehigh Valley Physician Group 2,512 clinicians

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 Hospital, Hazleton, PA, CCN 390185
  • Lehigh Valley Hospital Hospital, Allentown, PA, CCN 390133
  • Schuylkill Medical Center - South Jackson Street Hospital, Pottsville, PA, CCN 390030
  • Lehigh Valley Hospital - Pocono Hospital, East Stroudsburg, PA, CCN 390201
  • Lehigh Valley Hospital - Macungie Hospital, Macungie, PA, CCN 390430

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD056535LPAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Oct 1, 2025 Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Oct 1, 2025 Accepting new patients
Medical Imaging of Lehigh Valley PC Diagnostic Radiology CurrentSince May 12, 2016 Accepting new patients
Garden State Healthcare Associates, LLC CurrentSince Sep 1, 2015 Accepting new patients
Littleton Hospital Association Past Accepting new patients
Premier Radiology Associates PC Diagnostic Radiology PastSince Sep 30, 2003 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 PastSince May 7, 2025 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.

View all 19

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.