Organization Active NPI

Robert Brauner MD PL

Doing business as Northside OB/GYN

  • Gynecology Physician
  • Tampa, FL
National Provider Identifier
1861434417
Registry record updated Apr 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
ME39272 Issued in FL
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
067627600MedicaidFL

Other names 1

  • NORTHSIDE OB/GYN Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.