Active NPI
Paul W Braunegg Jr., MD
- Anesthesiology Physician
- Allenwood, PA
National Provider Identifier
1649238478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 034452E
- Practice address
- 66 Enterprise Blvd
Allenwood, PA 17810-9260 - Phone
- (570) 538-2613
- Fax
- (570) 538-4665
- NPI assigned
- May 2, 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 034452E | PA | Primary |
Addresses
Primary practice location
66 Enterprise Blvd
Allenwood, PA 17810-9260
Mailing address
66 Enterprise Blvd
Allenwood, PA 17810-9260
Phone (570) 538-2613
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 |
|---|---|---|---|
| 034452E | PA | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610323200000",
"number": "1649238478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 ENTERPRISE BLVD",
"city": "ALLENWOOD",
"state": "PA",
"postal_code": "178109260",
"telephone_number": "570-538-2613",
"fax_number": "570-538-4665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 ENTERPRISE BLVD",
"city": "ALLENWOOD",
"state": "PA",
"postal_code": "178109260",
"telephone_number": "570-538-2613",
"fax_number": "570-538-4665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAUNEGG",
"first_name": "PAUL",
"middle_name": "W",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-02",
"last_updated": "2021-01-11",
"certification_date": "2021-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PA",
"license": "034452E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Allenwood, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.