Robert R. Braswell, MD
Individual provider Active NPI Psychiatry Physician · Marne, MI
NPI 1992812762 · NPPES record last updated Jan 23, 2024
Key facts
- NPI
- 1992812762
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 4301108828 (MI)
- Practice address
- 15146 16TH Ave # 208
Marne, MI 49435-9605 - Phone
- (844) 776-9651
- NPI assigned
- Aug 25, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 86346 | FL | MD | Forensic Psychiatry Physician |
| 4301108828 | MI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vericare of Florida, Inc. | Psychiatry | Past | Accepting new patients |
| DHHS PHS Naihs Fort Defiance Hospital | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Psychiatry Physician | 2084F0202X | 6615 | AK | |
| Forensic Psychiatry Physician | 2084F0202X | ME 86346 | FL | |
| Psychiatry Physician | 2084P0800X | 4301108828 | MI | Yes |
Addresses
Primary practice location
15146 16TH Ave # 208
Marne, MI 49435-9605
Mailing address
15146 16TH Ave
Marne, MI 49435-9605
Phone (844) 776-9651
Other providers in Marne, MI
- Iliana Itati Argueta
- Tammy Jo Ayers
- Samarth Bhandari
- Amy Lynn Boshoven
- Caroline Alana Boynton
- Lyndsey Margaret Clark
- Nina Johnson Deane
- Lee A Diener
- Bethany R Fisk
- Hilary M Fowler
All providers in Marne, MI · Psychiatry Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.