Peter J Braun, D.C.
Individual provider Active NPI Chiropractor · Conifer, CO
NPI 1679693345 · NPPES record last updated Jun 16, 2010
Key facts
- NPI
- 1679693345
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 4589 (CO)
- Practice address
- 26291 Main St
Conifer, CO 80433-8500 - Phone
- (303) 838-0990
- Fax
- (303) 838-6400
- NPI assigned
- Mar 29, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1998
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
26291 Main St
Conifer, CO 80433-8500
Phone (303) 838-0990
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041123001172 | CO | Practitioner - Chiropractic | 0446215933 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4589 | CO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Braun Chiropractic, a Professional Limited Liability Company | Chiropractor | Current |
Accepting new patients |
Locations
26291 Main St
Conifer, CO 80433
Phone (303) 838-0990
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4589 | CO | Yes |
Addresses
Primary practice location
26291 Main St
Conifer, CO 80433-8500
Mailing address
PO Box 1412
Conifer, CO 80433-1412
Phone (303) 838-0990
Other providers in Conifer, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.