Active NPI
Paul E. Braman, M.D.
- Family Medicine Physician
- Byron Center, MI
National Provider Identifier
1629096896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- PB038125
- Practice address
- 7751 Byron Center Ave SW Ste a
Byron Center, MI 49315-8001 - Phone
- (616) 878-3321
- Fax
- (616) 878-0858
- NPI assigned
- Jul 17, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | PB038125 | MI | Primary |
Addresses
Primary practice location
7751 Byron Center Ave SW Ste a
Byron Center, MI 49315-8001
Mailing address
100 Burton
Mc845
Grand Rapids, MI 49503
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080D16151 | Other | MI | BXBS |
| P57788 | Other | MI | BCN |
| 1997755 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PB038125 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Byron Family Medicine, P.C. | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Byron Center, MI
- NPI 1144410598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296691200000",
"number": "1629096896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 BURTON",
"address_2": "MC845",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "49503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7751 BYRON CENTER AVE SW STE A",
"city": "BYRON CENTER",
"state": "MI",
"postal_code": "493158001",
"telephone_number": "616-878-3321",
"fax_number": "616-878-0858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAMAN",
"first_name": "PAUL",
"middle_name": "E.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2011-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "PB038125",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BXBS",
"identifier": "080D16151",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCN",
"identifier": "P57788",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1997755",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Byron Center, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.