Active NPI
Charles John Braz, DPM
- Podiatrist
- Hamlin, PA
National Provider Identifier
1720028749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- SC001830L
- Practice address
- 606 Hamlin Highway
BLDG a
Hamlin, PA 18427 - Phone
- (570) 689-9161
- NPI assigned
- Jun 7, 2006
- Last updated
- May 24, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | SC001830L | PA | Primary |
Addresses
Primary practice location
606 Hamlin Highway
BLDG a
Hamlin, PA 18427
Mailing address
109 Traco Road
Lake Ariel, PA 18436
Phone (570) 689-2366
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337817600000",
"number": "1720028749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 TRACO ROAD",
"city": "LAKE ARIEL",
"state": "PA",
"postal_code": "18436",
"telephone_number": "570-689-2366",
"fax_number": "570-689-0269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 HAMLIN HIGHWAY",
"address_2": "BLDG A",
"city": "HAMLIN",
"state": "PA",
"postal_code": "18427",
"telephone_number": "570-689-9161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAZ",
"first_name": "CHARLES",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2012-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "PA",
"license": "SC001830L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hamlin, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.