Randell I Braun, D.P.M.
Individual provider Active NPI Foot Surgery Podiatrist · Daphne, AL
NPI 1891852091 · NPPES record last updated Jan 15, 2015
Key facts
- NPI
- 1891852091
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Foot Surgery Podiatrist 213ES0131X
- License
- 82 (AL)
- Practice address
- 1913 US Highway 98
Daphne, AL 36526-4371 - Phone
- (251) 626-5065
- Fax
- (251) 626-7580
- NPI assigned
- Jan 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- Temple University School of Medicine, 1980
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1913 US Hwy 98
Daphne, AL 36526-4371
Phone (251) 626-5065
Hospital & facility affiliations
- Thomas Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 362 |
| Removal or shaving of skin growth | 46 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101108000108 | AL | Practitioner - Podiatry | 4385766914 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82 | AL | MD | Foot Surgery Podiatrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | 82 | AL | Yes |
Addresses
Primary practice location
1913 US Highway 98
Daphne, AL 36526-4371
Mailing address
1913 US Highway 98
Daphne, AL 36526-4371
Phone (251) 626-5065
Other providers in Daphne, AL
- Lucas Boone
- Joseph Jackson Boyd
- Ashleigh Boyington
- Megan G Bradley
- Molly-Catherine Brantley
- Bray Counseling Services LLC
- Cheryl Bray Bray
- Martha Bates Brewer
- John Joseph Broderick-Cantwell
- Camille Brown
All providers in Daphne, AL · Foot Surgery Podiatrist in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.