Active NPI
Taylor Lee Braunberger, M.D.
- Dermatology Physician
- Dickinson, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 20321
- Practice address
- 2615 Fairway St
Dickinson, ND 58601-2590 - Phone
- (701) 456-6000
- Fax
- (701) 456-6195
- NPI assigned
- Mar 25, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 4301112111 | MI | |
| Dermatology Physician | 207N00000X | 20321 | ND | Primary |
Addresses
Primary practice location
2615 Fairway St
Dickinson, ND 58601-2590
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Other practice location 1
3031 W Grand Blvd Ste 800
Detroit, MI 48202-3141
Phone (313) 916-2171
Other practice location 2
2830 N Washington St
Bismarck, ND 58503-1482
Phone (701) 323-5400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CO, ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of North Dakota School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2615 Fairway St
Dickinson, ND 58601-2590
Phone (701) 456-6000
3318 N 14TH St
Bismarck, ND 58503-1614
Phone (701) 323-8300
Hospital & facility affiliations
- Sanford Medical Center Bismarck
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.63 of 100
- Quality
- 89.39
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.04
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 14 |
| Removal of skin lesions | 427 |
| Removal or shaving of skin growth | 24 |
| Skin biopsy | 189 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20321 | ND | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Bismarck | Current | Accepting new patients | |
| Clearview Dermatology PLLC | Dermatology | Current | Accepting new patients |
| Brookview Medical Associates, PLLC | General Practice | Current | Accepting new patients |
| Front Range Skincare PLLC | General Practice | Past | Accepting new patients |
Locations
14789 W 87th Pkwy
Arvada, CO 80005
Phone (720) 797-9184
32135 Castle Ct
Ste 202
Evergreen, CO 80439
Phone (720) 694-8550
13402 W Coal Mine Ave
Ste 360
Littleton, CO 80127
Phone (720) 797-9184
3318 N 14th St
Bismarck, ND 58503
Phone (701) 323-8300
2830 N Washington St
Bismarck, ND 58503
Phone (701) 323-5400
2615 Fairway St
Dickinson, ND 58601
Phone (701) 456-6000
80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
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.
-
- Multi-Specialty Clinic/Center
- Bismarck, ND
- NPI 1811941172
-
- General Practice Physician
- Bohemia, NY
- NPI 1871965855
-
- MOHS-Micrographic Surgery Physician
- Arvada, CO
- NPI 1548874449
Dermatology
-
- Physical Medicine & Rehabilitation Physician
- Arvada, CO
- NPI 1225828163
General Practice
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bismarck, ND
- NPI 1538245634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738108800000",
"number": "1811359003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5074",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571175074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2615 FAIRWAY ST",
"city": "DICKINSON",
"state": "ND",
"postal_code": "586012590",
"telephone_number": "701-456-6000",
"fax_number": "701-456-6195"
}
],
"practiceLocations": [
{
"address_1": "3031 W Grand Blvd Ste 800",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482023141",
"country_code": "US",
"telephone_number": "313-916-2171",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2830 N Washington St",
"address_purpose": "LOCATION",
"city": "Bismarck",
"state": "ND",
"postal_code": "585031482",
"country_code": "US",
"telephone_number": "701-323-5400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRAUNBERGER",
"first_name": "TAYLOR",
"middle_name": "LEE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-25",
"last_updated": "2025-01-29",
"certification_date": "2025-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MI",
"license": "4301112111",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "ND",
"license": "20321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dickinson, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.