John Walter Brauer, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3619 Issued in WI

Practice address

115 Forest St
Wausau, WI 54403-5504

Phone

(715) 845-6836

Fax

(715) 842-2041

NPI assigned

Apr 4, 2007

Last updated

Jul 8, 2007By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629190350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 FOREST ST",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544035504",
            "telephone_number": "715-845-6836",
            "fax_number": "715-842-2041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 FOREST ST",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544035504",
            "telephone_number": "715-845-6836",
            "fax_number": "715-842-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUER",
        "first_name": "JOHN",
        "middle_name": "WALTER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "3619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Max Kyle Brainard
• Roy A Brandell, M.D.
• Daphney Ann Brandenburg, BA
• Jennifer Brandsma, RN
• James Michael Branning, RPH
• Kathleen A Brazaitis, PT
• Wayne A Brearley, MD
• Breast Center of Central Wisconsin, S.C
• Robert T. Brebrick, M.D.
• Alexandra M Brecke

• General Practice Dentistry in Wausau, WI
• Providers in Wausau, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.