Active NPI
Rodney M Brauher, LMSW, PA-C
- Medical Physician Assistant
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- 1451 River Park Dr Ste 260
Sacramento, CA 95815-4504 - Phone
- (657) 400-5180
- NPI assigned
- Jun 14, 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801059465 | MI | |
| Medical Physician Assistant | 363AM0700X | Primary |
Addresses
Primary practice location
1451 River Park Dr Ste 260
Sacramento, CA 95815-4504
Mailing address
5781 Grand River Dr
Grand Ledge, MI 48837-8958
Phone (517) 622-2912
Other practice location 1
1322 E Michigan Ave
Suite 111
Lansing, MI 48912-2199
Phone (517) 622-2912
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20795 | CA | MD | Clinical Psychologist |
| 6801059465 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medical Centers, Inc. | Current | Accepting new patients | |
| Community Medical Centers Inc | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Geriatric Psychiatric Services PLLC | Past | Accepting new patients |
Locations
200 Cottage Ave
Ste 103
Manteca, CA 95336
Phone (209) 624-5800
600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755
7210 Murray Dr
Stockton, CA 95210
Phone (209) 373-2816
730 N Central Ave
Tracy, CA 95376
Phone (209) 820-1500
Interoperability endpoints
- rodney.brauher.p1@direct.cmcentersinc.nextgenshare.com
- rbrauher768019@direct.ochin.org
- rbrauher@landmarkhealth-direct.org
Organizations & group practices 6
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
- Modesto, CA
- NPI 1669846986
-
- Federally Qualified Health Center (FQHC)
- Esparto, CA
- NPI 1588729180
-
- Federally Qualified Health Center (FQHC)
- Lodi, CA
- NPI 1891529061
-
- Federally Qualified Health Center (FQHC)
- Lodi, CA
- NPI 1881685964
-
- Durable Medical Equipment & Medical Supplies
- Tracy, CA
- NPI 1720930712
-
- Clinical Psychologist
- Indianapolis, IN
- NPI 1073753323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572220800000",
"number": "1831132810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5781 GRAND RIVER DR",
"city": "GRAND LEDGE",
"state": "MI",
"postal_code": "488378958",
"telephone_number": "517-622-2912",
"fax_number": "517-622-2912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1451 RIVER PARK DR STE 260",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958154504",
"telephone_number": "657-400-5180"
}
],
"practiceLocations": [
{
"address_1": "1322 E Michigan Ave",
"address_2": "Suite 111",
"address_purpose": "LOCATION",
"city": "Lansing",
"state": "MI",
"postal_code": "489122199",
"country_code": "US",
"telephone_number": "517-622-2912",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRAUHER",
"first_name": "RODNEY",
"middle_name": "M",
"credential": "LMSW, PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2019-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801059465",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.