NPIMap

Individual provider Active NPI

Carolina Favero Braga

  • Hospitalist Physician
  • Dickson Cty, PA
National Provider Identifier
1790216067
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
MD470836 Issued in PA
Practice address
1550 Main St Ste 1
Dickson Cty, PA 18447-1345
Phone
(570) 550-0870
NPI assigned
Mar 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD470836 PA
Hospitalist Physician 208M00000X MD470836 PA Primary

Addresses

Primary practice location

1550 Main St Ste 1
Dickson Cty, PA 18447-1345

Mailing address

1550 Main St Ste 1
Dickson Cty, PA 18447-1345
Phone (570) 550-0870

Other practice location 1

575 N River St
Wilkes Barre, PA 18764-2008
Phone (570) 552-4450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200826000026 PA Practitioner - Family PracticePractitioner - Hospitalist 9335566199 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Pennsylvania HM Associates, PCGroup PAC ID 0547404337, 31 clinicians

Practice addresses (Care Compare)

1550 Main St
Dickson City, PA 18447-1345
Phone (570) 218-8055

334 Main St
Dickson City, PA 18519-1668
Phone (507) 307-1767

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD470836PAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Inpatient Medicine Associates PC Hospitalist CurrentSince Jul 21, 2020 Accepting new patients
Pennsylvania HM Associates PC Hospitalist CurrentSince Apr 30, 2023 Accepting new patients
Primary Focus Medicine Inc Family Medicine CurrentSince Nov 10, 2023 Accepting new patients
Valley Integrated Urgent Care and Wellness Center Inc CurrentSince Jun 1, 2024 Accepting new patients
Lehigh Valley Hospital- Pocono Past Accepting new patients

Locations

1550 Main St
Ste 1A
Dickson Cty, PA 18447
Phone (570) 550-0870

1550 Main St
Ste 1B
Dickson Cty, PA 18447
Phone (570) 218-8055

1550 Main St
Dickson Cty, PA 18447
Phone (570) 218-8055

1550 Main St
Ste 1
Dickson Cty, PA 18447
Phone (570) 498-7234

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

175 E Chester Pike
Ridley Park, PA 19078
Phone (610) 595-6000

334 Main St
Scranton, PA 18519
Phone (570) 307-1767

1330 Main St
#141
Scranton, PA 18519

575 N River St
Wilkes Barre, PA 18764
Phone (570) 552-1300

Interoperability endpoints

  • Direct secure messaging: cbraga401855@direct.ahn.org

Organizations & group practices 5

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.

Hospital & facility affiliations 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1790216067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 MAIN ST STE 1",
            "city": "DICKSON CTY",
            "state": "PA",
            "postal_code": "184471345",
            "telephone_number": "570-550-0870",
            "fax_number": "570-550-0869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 MAIN ST STE 1",
            "city": "DICKSON CTY",
            "state": "PA",
            "postal_code": "184471345",
            "telephone_number": "570-550-0870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "575 N River St",
            "address_purpose": "LOCATION",
            "city": "Wilkes Barre",
            "state": "PA",
            "postal_code": "187642008",
            "country_code": "US",
            "telephone_number": "570-552-4450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAGA",
        "first_name": "CAROLINA",
        "middle_name": "FAVERO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-27",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD470836",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "MD470836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickson Cty, PA

Sources for this page

Verify at the official NPI Registry.