Kenneth Brait, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

M8099 Issued in ID

Practice address

100 Hospital Drive
Ste 109
Ketchum, ID 83340

Phone

(208) 578-3481

NPI assigned

Jun 9, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Intermountain Neurodiagnostics Inc

  • Electroneurodiagnostic Specialist/Technologist
  • Idaho Falls, ID
  • NPI 1336475516
  NPD (past)
• Neurology of Twin Falls, LLC

  • Neurology Physician
  • Twin Falls, ID
  • NPI 1861547390

  Neurology

  NPD (past)
• St Luke'S Magic Valley Regional Medical Center LTD

  • Community/Retail Pharmacy
  • Twin Falls, ID
  • NPI 1760203921
  NPD (past)
• Brait Partnow Margolin & Sharetts MDS PA

  • Neurology Physician
  • Willingboro, NJ
  • NPI 1326191008

  Neurology

  NPD (past)

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440374400000",
    "number": "1699716936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 E BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126241",
            "telephone_number": "208-381-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL DRIVE",
            "address_2": "STE 109",
            "city": "KETCHUM",
            "state": "ID",
            "postal_code": "83340",
            "telephone_number": "208-578-3481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAIT",
        "first_name": "KENNETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2015-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "ID",
            "license": "M8099",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WA",
            "license": "MD60070552",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Bodle, M.D.
• Melissa A Boley, LPCP
• Karen Bommentre, LMFT
• Boost Orthopedics and Sports Medicine Consulting
• Braden C. Comstock, DMD, PLLC
• Gene D Branum, MD
• Teresa Brennan, R.D.
• Ashley Brown, PA-C
• Katherine Mary Buckley, MD
• Anthony Maisin Buoncristiani, M.D.

• All providers in Ketchum, ID
• Neurology Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; 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.