Karen Brace, PRACTITIONER

Primary specialty

SpecialistTaxonomy code 174400000X

License

TPC-2669 Issued in VA

Practice address

241 Corporate Blvd
Suite 215
Norfolk, VA 23502-4975

Phone

(757) 455-5009

Fax

(757) 362-3577

NPI assigned

Jun 23, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Virginia Dermatology & Skin Cancer Center PLLC

  • Medical Specialty Clinic/Center
  • Norfolk, VA
  • NPI 1396774667
  NPD (past)
• Virginia Dermatology Skin Cancer Center Suffolk

  • Specialist
  • Suffolk, VA
  • NPI 1497032205
  NPD (past)

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

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435017600000",
    "number": "1871975151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 CORPORATE BLVD",
            "address_2": "SUITE 215",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235024975",
            "telephone_number": "757-455-5009",
            "fax_number": "757-362-3577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 CORPORATE BLVD",
            "address_2": "SUITE 215",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235024975",
            "telephone_number": "757-455-5009",
            "fax_number": "757-362-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACE",
        "first_name": "KAREN",
        "credential": "PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-23",
        "last_updated": "2015-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "TPC-2669",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "1204018470",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Allison Bowles, M.D.
• Ashley Bowling
• Amanda L. Boyd
• Cameron Jason Boyd, ED.S.
• Christina L Boykin, LPC
• Brad N. Robinson
• Chrystal Braden, DO
• Martyn H Bradley, ATC
• Quiana Bradley, LCSW
• Erin Nicole Bradshaw, PA-C

• Specialist in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; 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.