Individual provider Active NPI

James M Brauer, M.D.

  • Family Medicine Physician
  • Hood River, OR
National Provider Identifier
1720051352
Registry record updated Mar 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
15304 Issued in OR
Practice address
1021 June St Ste 102
Hood River, OR 97031-1516
Phone
(541) 386-3883
Fax
(541) 386-6820
NPI assigned
Feb 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 15304 OR Primary

Addresses

Primary practice location

1021 June St Ste 102
Hood River, OR 97031-1516

Mailing address

1021 June St Ste 102
Hood River, OR 97031-1516
Phone (541) 386-3883

Other identifiers 1

IdentifierTypeStateIssuer
R161844MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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

Enrollment IDStateProvider typePAC IDDetails
I20080129000244 OR Practitioner - Family PracticePractitioner - General Surgery 8224022611 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15304ORMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Family Medicine - LLC Family Medicine CurrentSince Feb 1, 2009 Accepting new patients
James M. Brauer MD Family Medicine PastSince May 5, 2003 Accepting new patients

Locations

1021 June St
Ste 102
Hood River, OR 97031
Phone (541) 386-3883

1021 June St
Hood River, OR 97031
Phone (541) 386-0007

Interoperability endpoints

  • Direct secure messaging: james.brauer@326763223121924.direct.elationemr.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1720051352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 JUNE ST STE 102",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970311516",
            "telephone_number": "541-386-3883",
            "fax_number": "541-386-6820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 JUNE ST STE 102",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970311516",
            "telephone_number": "541-386-3883",
            "fax_number": "541-386-6820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUER",
        "first_name": "JAMES",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "15304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "R161844",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hood River, OR

Sources for this page

Verify at the official NPI Registry.