Individual provider Active NPI

Gary Craig Braun, D.M.D.

  • General Practice Dentistry
  • North Brunswick, NJ
National Provider Identifier
1932528379
Registry record updated Sep 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI02540100 Issued in NJ
Practice address
2208 US Highway 130
North Brunswick, NJ 08902-4805
Phone
(732) 940-1111
NPI assigned
Apr 14, 2014
Last updated
Sep 14, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22DI02540100 NJ Primary

Addresses

Primary practice location

2208 US Highway 130
North Brunswick, NJ 08902-4805

Mailing address

2208 US Highway 130
North Brunswick, NJ 08902-4805
Phone (732) 940-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160811000414 NJ Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9133433626

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1397433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473811200000",
    "number": "1932528379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 US HIGHWAY 130",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089024805",
            "telephone_number": "732-940-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 US HIGHWAY 130",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089024805",
            "telephone_number": "732-940-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUN",
        "first_name": "GARY",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-14",
        "last_updated": "2016-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02540100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.