John Clifton Brawner, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD13941 Issued in OR

Practice address

1297 Gardner Way
Medford, OR 97504-9300

Phone

(541) 779-4348

Fax

(541) 779-4348

NPI assigned

Oct 17, 2006

Last updated

Sep 8, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220832000000",
    "number": "1811078132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1297 GARDNER WAY",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975049300",
            "telephone_number": "541-779-4348",
            "fax_number": "541-779-4348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1297 GARDNER WAY",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975049300",
            "telephone_number": "541-779-4348",
            "fax_number": "541-779-4348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAWNER",
        "first_name": "JOHN",
        "middle_name": "CLIFTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2008-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OR",
            "license": "MD13941",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OR",
            "license": "MD13941",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "221911",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "4898004",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori Braughton, FNP
• Albert Samuel Braun, FNP
• Sirah Nicole Brautigam
• Carissa D Bravo, PSYD
• Jack Dillon Bravo, CADC-R
• Crystina L Brazie, L.C.S.W.
• Sophia Maxine Brechart
• Melanie Roseann Breidenthal, RDH BS
• Erin Camille Bremmer
• Bren Dixon DMD LLC (Bear Creek Pediatric Dentistry)

• Surgery Physician in Medford, OR
• Providers in Medford, OR by specialty
• Surgery Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.