Organization Active NPI

Connie J Braun MD PLLC

  • Internal Medicine Physician
  • Saginaw, MI
National Provider Identifier
1831412931
Registry record updated Aug 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301080771 Issued in MI
Legal business name
CONNIE J BRAUN MD PLLC
Practice address
2605 Weiss St
Saginaw, MI 48602
Phone
(989) 497-9419
Fax
(989) 497-9491
NPI assigned
Mar 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2015

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

Authorized official

Name
Dr. Connie J Braun, MD
Title
Owner
Phone
(989) 497-9419

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 4301080771 MI Primary

Addresses

Primary practice location

2605 Weiss St
Saginaw, MI 48602

Mailing address

PO Box 5887
Saginaw, MI 48603-0887
Phone (989) 497-9419

Other identifiers 1

IdentifierTypeStateIssuer
4726442MedicaidMI

National Provider Directory

National Provider Directory

Locations

2605 Weiss St
Saginaw, MI 48602
Phone (231) 758-8122

NPI Registry JSON

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

{
    "created_epoch": "1267660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440979200000",
    "number": "1831412931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5887",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486030887",
            "telephone_number": "989-497-9419",
            "fax_number": "989-497-9491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 WEISS ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "48602",
            "telephone_number": "989-497-9419",
            "fax_number": "989-497-9491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNIE J BRAUN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-04",
        "last_updated": "2015-08-31",
        "status": "A",
        "authorized_official_last_name": "BRAUN",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-497-9419",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301080771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4726442",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; 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.