Paul J Braaton, M.D., Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G84066 Issued in CA

Legal business name

PAUL J BRAATON, M.D., INC.

Practice address

1335 Coffee Rd Ste 100
Modesto, CA 95355-3192

Phone

(209) 524-5977

Fax

(209) 524-7395

NPI assigned

Oct 4, 2007

Organization subpart

No

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

Authorized official

Name

Paul J Braaton, MDNPI 1538117056

Title

President

Phone

(209) 524-5977

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul J Braaton, MD

  • Orthopaedic Surgery Physician
  • Modesto, CA
  • NPI 1538117056
  Medicare reassignment NPD Authorized official
• Travis L Wolf, PA

  • Physician Assistant
  • Ripon, CA
  • NPI 1598934812
  Medicare reassignment

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362960000000",
    "number": "1861680795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 COFFEE RD",
            "address_2": "STE 100",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953553188",
            "telephone_number": "209-524-5977",
            "fax_number": "209-524-7395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 COFFEE RD STE 100",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953553192",
            "telephone_number": "209-524-5977",
            "fax_number": "209-524-7395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL J BRAATON, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2013-03-11",
        "status": "A",
        "authorized_official_last_name": "BRAATON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-524-5977",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G84066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G840660",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bryce Patton
• George Arthur Patton, O.D.
• Shea Kenda Patton, M.S.
• Christina Emilee Patzer
• Hallie Pau
• Kylie Paul
• Raman Preet Paul
• Paula Tremayne, D.O., a Professional Medical Corporation
• Donald Scott Paulsen, PA
• Janice Dulion Paulsen, M.D.

• Specialist in Modesto, CA
• Providers in Modesto, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; 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.