Larry Braver, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

LB007238 Issued in MI

Practice address

8245 Holly Rd
Ste 102a
Grand Blanc, MI 48439-2443

Phone

(810) 694-0300

Fax

(810) 694-0710

NPI assigned

Jul 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Caretenders Home health agency, Farmington Hills, MI, CCN 237540
• The Care Team Hospice Hospice, Flint, MI, CCN 231648
• Heart to Heart Hospice of Flint Hospice, Flint, MI, CCN 231617
• St Croix Hospice Hospice, Troy, MI, CCN 231635

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lbraver1118609@direct.hfhs.org

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.

• Larry Braver DO PC

  • Family Medicine Physician
  • Grand Blanc, MI
  • NPI 1568631315
  Medicare reassignment NPD Authorized official
• All-Stat Portable Mi LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Saint Joseph, MI
  • NPI 1881342863
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• CNS Hospice LLC

  • Community Based Hospice Care Agency
  • Troy, MI
  • NPI 1578830881
  Care Compare affiliation
• Community Health Hospice Care, LLC

  • Community Based Hospice Care Agency
  • Flint, MI
  • NPI 1073906590
  Care Compare affiliation
• Heart to Heart Hospice of Flint LLC

  • Community Based Hospice Care Agency
  • Flint, MI
  • NPI 1215030242
  Care Compare affiliation
• Innovative Senior Care Home Health of Detroit LLC

  • Home Health Agency
  • Farmington Hills, MI
  • NPI 1275678310
  Care Compare affiliation

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352332800000",
    "number": "1922028612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8245 HOLLY RD",
            "address_2": "STE 102A",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392443",
            "telephone_number": "810-694-0300",
            "fax_number": "810-694-0710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8245 HOLLY RD",
            "address_2": "STE 102A",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392443",
            "telephone_number": "810-694-0300",
            "fax_number": "810-694-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAVER",
        "first_name": "LARRY",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2012-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "LB007238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2094329",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE",
            "identifier": "C3348",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS PARTNERS",
            "identifier": "0114765",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPOM",
            "identifier": "382400982",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD RETIREE",
            "identifier": "080192699",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "382400982",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "5251476",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0152514765",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.