Bodo Brauer, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

H3231 Issued in TX

Practice address

8555 Memorial Blvd Ste 100
Port Arthur, TX 77640-7001

Phone

(409) 237-6480

Fax

(833) 749-0330

NPI assigned

Jun 22, 2005

Last updated

Jan 24, 2023By 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

Enrolled in TX

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

Specialty

Family Practice

Education

University of Texas Medical Branch at Galveston, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centerwell Senior Primary Care TX PAGroup PAC ID 4789950247, 111 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bodo.brauer@centerwell.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Centerwell Senior Primary Care (TX) PA

  dba CenterWell Senior Primary Care- Pasadena

  • Internal Medicine Physician
  • Pasadena, TX
  • NPI 1861959298

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Centerwell Senior Primary Care (TX) PA

  dba CenterWell Senior Primary Care -Sunnyside

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1023640174

  Family Medicine

  NPD
• Centerwell Senior Primary Care (TX) PA

  dba CenterWell Senior Primary Care- DeSoto

  • Internal Medicine Physician
  • Desoto, TX
  • NPI 1689491581

  Family Medicine

  NPD

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1679579908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8555 MEMORIAL BLVD STE 100",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776407001",
            "telephone_number": "409-237-6480",
            "fax_number": "833-749-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8555 MEMORIAL BLVD STE 100",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776407001",
            "telephone_number": "409-237-6480",
            "fax_number": "833-749-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUER",
        "first_name": "BODO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H3231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Bosworth, PTA
• Jasmine Yvonne Botley, LVN
• Andrew Botrous, DENTAL STUDENT
• Richard G Bowling, DPM
• Jackie Faye Bradley, M.ED.
• Samantha Louann Brawley, MA, LPC
• Edward Tildon Braye Jr., MD
• Amy Britt, LPC-ASSOCIATE
• Angela Marie Brooks, FNP-C
• Denise Joy Broussard, LMSW

• Family Medicine Physician in Port Arthur, TX
• Providers in Port Arthur, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.