Active NPI
David J. Brauer, M.D.
- Family Medicine Physician
- Buffalo, NY
National Provider Identifier
1871528232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 237993
- Practice address
- 3435 Main St. Michael Hall
University of Buffalo Student Health Services
Buffalo, NY 14214 - Phone
- (716) 668-3600
- Fax
- (716) 656-4223
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 237993 | NY | Primary |
Addresses
Primary practice location
3435 Main St. Michael Hall
University of Buffalo Student Health Services
Buffalo, NY 14214
Mailing address
3435 Main St. Michael Hall
University of Buffalo Student Health Services
Buffalo, NY 14214
Phone (716) 829-3316
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 061122000036 | Other | NY | FIDELIS |
| 000000112563 | Other | NY | FIDELIS |
| 00027637901 | Other | NY | UNIVERA |
| 189879BF | Other | NY | PREFERRED CARE |
| 0113880 | Other | NY | IHA |
| 11581954 | Other | NY | CAQH |
| P00338496 | Other | NY | MEDICARE RAILROAD |
| 000528680001 | Other | NY | BCBS |
| 08494418 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392940800000",
"number": "1871528232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3435 MAIN ST. MICHAEL HALL",
"address_2": "UNIVERSITY OF BUFFALO STUDENT HEALTH SERVICES",
"city": "BUFFALO",
"state": "NY",
"postal_code": "14214",
"telephone_number": "716-829-3316",
"fax_number": "716-829-2564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3435 MAIN ST. MICHAEL HALL",
"address_2": "UNIVERSITY OF BUFFALO STUDENT HEALTH SERVICES",
"city": "BUFFALO",
"state": "NY",
"postal_code": "14214",
"telephone_number": "716-668-3600",
"fax_number": "716-656-4223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAUER",
"first_name": "DAVID",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2014-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "237993",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "061122000036",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "000000112563",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00027637901",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "189879BF",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHA",
"identifier": "0113880",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11581954",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00338496",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000528680001",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08494418",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.