Individual provider Active NPI

Larry Braver, D.O.

  • Family Medicine Physician
  • Grand Blanc, MI
National Provider Identifier
1922028612
Registry record updated Nov 8, 2012
On this page

Key facts

NPPES NPI Registry
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
Last updated
Nov 8, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X LB007238 MI Primary

Addresses

Primary practice location

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

Mailing address

8245 Holly Rd
Ste 102a
Grand Blanc, MI 48439-2443
Phone (810) 694-0300

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080618000630 MI Practitioner - Family Practice 6406811819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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)

8245 Holly Rd
102A
Grand Blanc, MI 48439-2443
Phone (810) 694-0300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
LB007238MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Larry Braver DO PC Family Medicine CurrentSince Apr 1, 2004 Accepting new patients
All-Stat Portable Mi LLC Past Accepting new patients

Locations

8143 S Saginaw St
Grand Blanc, MI 48439
Phone (810) 214-4942

8245 Holly Rd
Ste 102A
Grand Blanc, MI 48439
Phone (810) 694-0300

Interoperability endpoints

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

Organizations & group practices 2

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

Hospital & facility affiliations 4

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

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.