Lisa J Braverman, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35062326 Issued in OH

Practice address

1075 Beecher Xing N Ste a
Gahanna, OH 43230-4572

Phone

(614) 475-6712

Fax

(614) 475-6902

NPI assigned

Jan 16, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Central Ohio Primary Care Physicians, Inc.

  • Internal Medicine Physician
  • Westerville, OH
  • NPI 1194705194
  Medicare reassignment

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524182400000",
    "number": "1720139744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 BEECHER XING N STE A",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432304572",
            "telephone_number": "614-475-6712",
            "fax_number": "614-475-6902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 BEECHER XING N STE A",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432304572",
            "telephone_number": "614-475-6712",
            "fax_number": "614-475-6902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAVERMAN",
        "first_name": "LISA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2018-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35062326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0892815",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hunter Bracale
• Jessie James Bradley III
• Sonya Barnes Bradley
• Samuel Braima Jr.
• Jerry Lee Brand, LMT
• Bright Star Home Health Care LLC
• Brighter Day Health LLC
• Gabrielle Alexandra Brokamp, MD
• Brooke H. Buller, DDS, LLC
• Brooks Supported Living, Inc.

• Internal Medicine Physician in Gahanna, OH
• Providers in Gahanna, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.