NPIMap

Individual provider Active NPI

Mark Braun, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Scarborough, ME
National Provider Identifier
1851327936
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
014176 Issued in ME
Practice address
306 US Route 1 Ste C1
Scarborough, ME 04074-7640
Phone
(207) 883-0888
Fax
(207) 883-0838
NPI assigned
Jun 23, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 014176 ME Primary

Addresses

Primary practice location

306 US Route 1 Ste C1
Scarborough, ME 04074-7640

Mailing address

306 US Route 1 Ste C1
Scarborough, ME 04074-7640
Phone (207) 883-0888

Other identifiers 1

IdentifierTypeStateIssuer
330400099MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050818000735 ME Practitioner - Internal Medicine 4880624824 Practice locations: Scarborough, ME

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Minnesota Medical School, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

306 US Route 1 C1
Scarborough, ME 04074-7640
Phone (207) 883-0888

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
014176MEMDGeriatric Medicine (Internal Medicine) Physician

Hospital & facility affiliations 42

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1851327936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 US ROUTE 1 STE C1",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040747640",
            "telephone_number": "207-883-0888",
            "fax_number": "207-883-0838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 US ROUTE 1 STE C1",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040747640",
            "telephone_number": "207-883-0888",
            "fax_number": "207-883-0838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUN",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "ME",
            "license": "014176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "330400099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarborough, ME

Sources for this page

Verify at the official NPI Registry.