Active NPI
Robert Brauner MD PL
Doing business as Northside OB/GYN
- Gynecology Physician
- Tampa, FL
National Provider Identifier
1861434417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- ME39272
- Legal business name
- ROBERT BRAUNER MD PL
- Doing business as
- Northside OB/GYN
- Practice address
- 13601 Bruce B Downs Blvd
Suite 121
Tampa, FL 33613 - Phone
- (813) 979-9100
- Fax
- (813) 979-1175
- NPI assigned
- Jun 11, 2006
- Last updated
- Apr 5, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Robert E Brauner, M.D.
- Title
- President
- Phone
- (813) 979-9100
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | |||
| Gynecology Physician | 207VG0400X | ME39272 | FL | Primary |
Addresses
Primary practice location
13601 Bruce B Downs Blvd
Suite 121
Tampa, FL 33613
Mailing address
13601 Bruce B Downs Blvd
Suite 121
Tampa, FL 33613
Phone (813) 979-9100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 067627600 | Medicaid | FL |
Other names 1
- NORTHSIDE OB/GYN
National Provider Directory
National Provider DirectoryLocations
13601 Bruce B Downs Blvd
Ste 150
Tampa, FL 33613
Phone (813) 979-9100
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1270425600000",
"number": "1861434417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13601 BRUCE B DOWNS BLVD",
"address_2": "SUITE 121",
"city": "TAMPA",
"state": "FL",
"postal_code": "33613",
"telephone_number": "813-979-9100",
"fax_number": "813-979-1175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13601 BRUCE B DOWNS BLVD",
"address_2": "SUITE 121",
"city": "TAMPA",
"state": "FL",
"postal_code": "33613",
"telephone_number": "813-979-9100",
"fax_number": "813-979-1175"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT BRAUNER MD PL",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-11",
"last_updated": "2010-04-05",
"status": "A",
"authorized_official_last_name": "BRAUNER",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "813-979-9100",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "FL",
"license": "ME39272",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "067627600",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "NORTHSIDE OB/GYN",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.