Individual provider Active NPI

Marcus Allan Braman, MD

  • Public Health & General Preventive Medicine Physician
  • Salem, OR
National Provider Identifier
1629065974
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
MD21630 Issued in OR
Practice address
1025 2ND St NW
Salem, OR 97304-4001
Phone
(971) 983-5433
Fax
(971) 983-5434
NPI assigned
Oct 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X MD21630 OR
Public Health & General Preventive Medicine Physician 2083P0901X MD21630 OR Primary

Addresses

Primary practice location

1025 2ND St NW
Salem, OR 97304-4001

Mailing address

PO Box 4141
Salem, OR 97302-8141
Phone (971) 983-5433

Other identifiers 1

IdentifierTypeStateIssuer
025873MedicaidOR

Other names 1

  • Dr. Marc Braman Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20070917000518 OR Practitioner - Preventive Medicine 9133166267 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Preventive Medicine
Education
Loma Linda University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1025 2ND St NW
Salem, OR 97304-4001
Phone (971) 983-5433

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD21630ORMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Firstcare Medical Foundation Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: marcus.braman.1@2220.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1629065974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4141",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973028141",
            "telephone_number": "971-983-5433",
            "fax_number": "971-983-5434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 2ND ST NW",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973044001",
            "telephone_number": "971-983-5433",
            "fax_number": "971-983-5434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAMAN",
        "first_name": "MARCUS",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "OR",
            "license": "MD21630",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "OR",
            "license": "MD21630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025873",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARC",
            "last_name": "BRAMAN",
            "prefix": "DR.",
            "credential": "MD, MPH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.