Individual provider Active NPI

Maria Corazon Villareal Benitez-Brauer, MD

  • Pediatrics Physician
  • Hendersonville, TN
National Provider Identifier
1831185644
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD31145 Issued in TN
Practice address
625 E Main St
Suite 3
Hendersonville, TN 37075-2602
Phone
(615) 822-8388
Fax
(615) 822-8336
NPI assigned
Sep 27, 2005
Last updated
Oct 31, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 31145 TN
Pediatrics Physician 208000000X MD31145 TN Primary

Addresses

Primary practice location

625 E Main St
Suite 3
Hendersonville, TN 37075-2602

Mailing address

625 E Main St Ste 4
Hendersonville, TN 37075-2602
Phone (615) 822-8388

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

LicenseStateTypeSpecialty
31145TNMDPediatrics Physician
MD31145TNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sumner Pediatrics, PLLC Pediatrics CurrentSince Mar 23, 2010 Accepting new patients

Locations

625 Johnny Cash Blvd
Ste 3
Hendersonvlle, TN 37075
Phone (615) 431-5484

625 Johnny Cash Blvd
Ste 4
Hendersonvlle, TN 37075
Phone (615) 212-8908

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1831185644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 E MAIN ST STE 4",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752602",
            "telephone_number": "615-822-8388",
            "fax_number": "615-822-8336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 E MAIN ST",
            "address_2": "SUITE 3",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752602",
            "telephone_number": "615-822-8388",
            "fax_number": "615-822-8336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENITEZ-BRAUER",
        "first_name": "MARIA CORAZON",
        "middle_name": "VILLAREAL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-27",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "31145",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "MD31145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; 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.