Individual provider Active NPI

Jonathan Braue

  • Dermatology Physician
  • Vero Beach, FL
National Provider Identifier
1801283171
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME139581 Issued in FL
Practice address
3555 10TH CT
Vero Beach, FL 32960-5013
Phone
(772) 563-4673
NPI assigned
Apr 23, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME139581 FL Primary

Addresses

Primary practice location

3555 10TH CT
Vero Beach, FL 32960-5013

Mailing address

1155 35TH LN
Ste 204
Vero Beach, FL 32960-6537
Phone (772) 567-4311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20190812000461 FL Practitioner - Dermatology 7719281229 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of South Florida College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Indian River Health Services IncGroup PAC ID 9234130329, 335 clinicians

Practice addresses (Care Compare)

3555 10TH CT
Suite 200a
Vero Beach, FL 32960-5013
Phone (772) 563-4673

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.26 of 100Reported as apm
Quality
80.2
Promoting interoperability
99.24
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision62
Removal of skin lesions1548
Removal or shaving of skin growth23
Skin biopsy616

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME139581FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indian River Health Services Inc CurrentSince Jul 1, 2019 Accepting new patients
John P Petersen MD PA CurrentSince Mar 29, 2020 Accepting new patients
Indian River Health Services Inc Dermatology CurrentSince Jul 1, 2019 Accepting new patients
Indian River Health Services Inc PastSince Sep 8, 2019 Accepting new patients

Locations

1190 37th St
Vero Beach, FL 32960
Phone (772) 563-4666

1155 35th Ln
Ste 202
Vero Beach, FL 32960
Phone (772) 770-6871

1155 35th Ln
Ste 204
Vero Beach, FL 32960
Phone (772) 563-4591

3555 10th Ct
Ste 200A
Vero Beach, FL 32960
Phone (772) 226-4800

3555 10th Ct
Vero Beach, FL 32960
Phone (772) 563-4673

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 4

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1801283171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 35TH LN",
            "address_2": "STE 204",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606537",
            "telephone_number": "772-567-4311",
            "fax_number": "772-794-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 10TH CT",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329605013",
            "telephone_number": "772-563-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUE",
        "first_name": "JONATHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-23",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME139581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.