Active NPI
Steven D Braun, MD
- Radiation Oncology Physician
- Springfield, MO
National Provider Identifier
1801875919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 2011003924
- Practice address
- 2055 S Fremont Ave
Springfield, MO 65804-2206 - Phone
- (417) 820-2468
- Fax
- (417) 820-7794
- NPI assigned
- Jan 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 0422332 | KS | |
| Radiation Oncology Physician | 2085R0001X | 2011003924 | MO | Primary |
Addresses
Primary practice location
2055 S Fremont Ave
Springfield, MO 65804-2206
Mailing address
PO Box 505164
Saint Louis, MO 63150-5164
Phone (417) 820-2000
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100127540B | Medicaid | KS | |
| 047228 | Other | KS | BCBS |
| 1801875919 | Medicaid | MO | |
| 3251773 001 | Other | KS | CIGNA |
| 0004134021 | Other | KS | AETNA |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0422332 | KS | MD | Radiation Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429142400000",
"number": "1801875919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 505164",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631505164",
"telephone_number": "417-820-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2055 S FREMONT AVE",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658042206",
"telephone_number": "417-820-2468",
"fax_number": "417-820-7794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAUN",
"first_name": "STEVEN",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-17",
"last_updated": "2015-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "KS",
"license": "0422332",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "MO",
"license": "2011003924",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100127540B",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "047228",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1801875919",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "3251773 001",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0004134021",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.