Nathan Braverman DMD MD PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

019023544 Issued in IL

Legal business name

NATHAN BRAVERMAN DMD MD PC

Doing business as

Highland Park Oral Maxillofacial Surgery

Practice address

1770 First St.
350
Highland Park, IL 60035-3200

Phone

(847) 433-1516

Fax

(847) 433-1548

NPI assigned

Nov 21, 2008

Last updated

Nov 21, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nathan Alan Braverman, DMD, MDNPI 1205945425

Title

President/Owner

Phone

(847) 433-1516

Specialties & licenses 1

Addresses

Other names 1

• Highland Park Oral Maxillofacial Surgery Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

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.

• Nathan Alan Braverman, D.M.D., M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Highland Park, IL
  • NPI 1205945425
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1227225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227225600000",
    "number": "1861647588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 1ST ST",
            "address_2": "SUITE 350",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353200",
            "telephone_number": "847-433-1516",
            "fax_number": "847-433-1548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 FIRST ST.",
            "address_2": "350",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353200",
            "telephone_number": "847-433-1516",
            "fax_number": "847-433-1548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHAN BRAVERMAN DMD MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-21",
        "last_updated": "2008-11-21",
        "status": "A",
        "authorized_official_last_name": "BRAVERMAN",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "847-433-1516",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": "019023544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highland Park Oral Maxillofacial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cara E Murphy, PT
• Tracy L. Murphy, AU.D.
• Jovi-Anne C. Myers, APN-CNP
• Myeyedr Optometry of Illinois, LLC (MyEyeDr.)
• Abigail Horvitz Natenshon, MA, LCSW, GCFP
• Joshua Benjamin Nathan, MD
• Robert A. Natonson, MD
• Madeleine Neems, M.D.
• Neil R Friedman MD LTD
• Diane Nekritz, MA, CCC-SLP

• Oral and Maxillofacial Surgery (Dentist) in Highland Park, IL
• Providers in Highland Park, IL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.