Individual provider Active NPI

Rodney M Brauher, LMSW, PA-C

  • Medical Physician Assistant
  • Sacramento, CA
National Provider Identifier
1831132810
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
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

Updated by the provider on Oct 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170628001484 CA Practitioner - Physician Assistant 4587610613 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
20795CAMDClinical Psychologist
6801059465MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Centers, Inc. CurrentSince Sep 6, 2022 Accepting new patients
Community Medical Centers Inc CurrentSince Sep 6, 2022 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Dec 6, 2021 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Dec 6, 2021 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

  • Direct secure messaging: rodney.brauher.p1@direct.cmcentersinc.nextgenshare.com
  • Direct secure messaging: rbrauher768019@direct.ochin.org
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.