Active NPI
Theodore M Braun, MD
- Surgery Physician
- Toledo, OH
National Provider Identifier
1699778837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 35038417
- Practice address
- 2213 Cherry St
1St Floor
Toledo, OH 43608-2603 - Phone
- (419) 251-5271
- Fax
- (419) 251-6977
- NPI assigned
- May 23, 2005
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 35038417 | OH | Primary |
Addresses
Primary practice location
2213 Cherry St
1St Floor
Toledo, OH 43608-2603
Mailing address
2200 Jefferson Ave
5TH FL
Toledo, OH 43604-7101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0490080 | Medicaid | OH |
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 |
|---|---|---|---|
| 35038417 | OH | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488412800000",
"number": "1699778837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 JEFFERSON AVE",
"address_2": "5TH FL",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436047101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2213 CHERRY ST",
"address_2": "1ST FLOOR",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436082603",
"telephone_number": "419-251-5271",
"fax_number": "419-251-6977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAUN",
"first_name": "THEODORE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-23",
"last_updated": "2017-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "35038417",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0490080",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.