Active NPI
Matthew Braun
- Speech-Language Pathologist
- Omaha, NE
National Provider Identifier
1962940296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP 8259
- Practice address
- 13609 California St Ste 200
Omaha, NE 68154-5245 - Phone
- (928) 607-5758
- NPI assigned
- Feb 7, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP 8259 | AZ | Primary |
| Speech-Language Pathologist | 235Z00000X | SLP-SP-LIC 5490 | MT | |
| Speech-Language Pathologist | 235Z00000X | SLP 2986 | ID | |
| Speech-Language Pathologist | 235Z00000X | SLP 2610 | CO |
Addresses
Primary practice location
13609 California St Ste 200
Omaha, NE 68154-5245
Mailing address
812 S Hemlock Ave
Prescott, AZ 86303-5183
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP 8259 | AZ | MD | Speech-Language Pathologist |
| SLP 2610 | CO | MD | Speech-Language Pathologist |
| SLP 2986 | ID | MD | Speech-Language Pathologist |
| SLP-SP-LIC 5490 | MT | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486425600000",
"number": "1962940296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "812 S HEMLOCK AVE",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863035183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13609 CALIFORNIA ST STE 200",
"city": "OMAHA",
"state": "NE",
"postal_code": "681545245",
"telephone_number": "928-607-5758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAUN",
"first_name": "MATTHEW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-07",
"last_updated": "2017-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLP 8259",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MT",
"license": "SLP-SP-LIC 5490",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ID",
"license": "SLP 2986",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CO",
"license": "SLP 2610",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.