DR. NORBERT R. BRAEUER (NPI# 1063474302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063474302 |
| Entity Type | Individual |
| Full Name | DR. NORBERT R. BRAEUER |
| Credential | M.D. |
| Practice Address |
7700 Fish Pond Rd Waco TX 76710-1031 |
| Mailing Address |
Po Box 847408 Dallas TX 75284-7408 |
| Practice Telephone | 2547414444 |
| Mailing Telephone | 2547242111 |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2007-07-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
D3163 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE SHIELD | 87G897 | 01 |
| Street Address |
7700 FISH POND RD |
| City | WACO |
| State | TX |
| Zip Code | 76710-1031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841298494 | Laura S Byas | Counselor | 7700 Fish Pond Rd, Waco, TX 76710-1031 | 2005-07-08 |
| 1053821504 | Ashley A Aaron | Nurse Practitioner | 7700 Fish Pond Rd, Waco, TX 76710-1031 | 2017-10-10 |
| 1174057855 | Holly Elaine Kimball | Clinical Nurse Specialist | 7700 Fish Pond Rd, Waco, TX 76710-1031 | 2017-04-19 |
| 1215389846 | Alyce Danielle Alven | Optometrist | 7700 Fish Pond Rd, Waco, TX 76710-1031 | 2016-07-07 |
| 1558741967 | Fernando Galindo | Physician Assistant | 7700 Fish Pond Rd, Waco, TX 76710-1031 | 2015-06-02 |
| 1649685462 | Jennifer Harwell | Nurse Practitioner | 7700 Fish Pond Rd, Waco, TX 76710 | 2014-07-01 |
| 1932511276 | Lee Murphy | Family Medicine | 7700 Fish Pond Rd, Waco, TX 76710-1031 | 2014-05-21 |
| 1881005031 | Adam Keith Jantz | Family Medicine | 7700 Fish Pond Rd, Waco, TX 76710-1031 | 2014-05-09 |
| 1134470198 | Jamie Michele Olejarski | Internal Medicine | 7700 Fish Pond Rd, Waco, TX 76710-1031 | 2012-09-30 |
| 1700146586 | Allison Joy Achilefu | Family Medicine | 7700 Fish Pond Rd, Waco, TX 76710-1031 | 2012-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740741156 | Jessica Cook-lindsay | Physical Therapist | 2121 W Hwy 6, Waco, Waco, TX 76710 | 2019-03-28 |
| 1306354824 | Paula A Huffhines | Technician, Other | 115 S 25th, Waco, TX 76710 | 2018-01-18 |
| 1982154639 | Nha Do | Pharmacist | 1301 Wood Acres, Waco, TX 76710 | 2016-10-06 |
| 1649662495 | Pediatric Advanced Life Services Home Health LLC | Home Health | 3640 W Waco Dr, Waco, TX 76710 | 2015-03-02 |
| 1881008795 | Soumava Sen, Dds, P.C. | Dentist | 4215 Franklin Ave, Ste. 300, Waco, TX 76710 | 2014-06-18 |
| 1053742221 | Dustin Dwain Kelm | Physical Therapist | 5400 Laurel Dr., Waco, TX 76710 | 2013-12-12 |
| 1881038776 | Penelope Diane Lane | Counselor | 7524 Bosque, Waco, TX 76710 | 2013-04-22 |
| 1538400627 | Erik Alexander Pernes Caluscusao | Physical Therapist | 415 Owen Ln Apt 911, Waco, TX 76710 | 2013-03-14 |
| 1447509039 | Sheree L Mach | Occupational Therapist | 5400 Laurel Lake Dr., Waco, TX 76710 | 2012-08-29 |
| 1568738425 | Ramanathan Anandaraman | Internal Medicine | 2608 Skyline Drive, Waco, TX 76710 | 2012-03-26 |
| Find all providers in zip 76710 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194030544 | Matthew Locke Kendrick | Radiology | 7543 Bosque Blvd Ste H, Waco, TX 76712-3774 | 2010-08-10 |
| 1679507768 | Russell L Mcclellan | Radiology | 3000 Herring Avenue, Waco, TX 76708 | 2006-07-11 |
| 1689608226 | Hillcrest X-ray Physicians | Radiology | 100 Hillcrest Baptist Medical Blvd., Waco, TX 76712-8899 | 2006-07-10 |
| 1417915984 | Central Texas Advanced Medical Imaging Lp | Radiology | 312 Richland West Circle, Waco, TX 76712 | 2006-05-03 |
| 1053376780 | Brian John Risinger | Radiology | 409 Keys Creek Dr, Waco, TX 76708-3762 | 2006-04-18 |
| 1063418929 | Kenneth James Ratajczak | Radiology | 3724 Greenleaf Drive, Waco, TX 76710-1414 | 2005-06-24 |
| 1629242474 | Daniel James Kirzeder | Radiology | 100 Hillcrest Medical Blvd, Waco, TX 76712-8897 | 2008-04-14 |
| 1588698674 | Fred H Rader | Radiology | 3000 Herring Avenue, Waco, TX 76708 | 2006-07-11 |
| 1396779484 | Jeffrey C Gerik | Radiology | 3000 Herring Ave, Waco, TX 76708 | 2006-07-11 |
| 1114951209 | Fred A Walters | Radiology | 3000 Herring Avenue, Waco, TX 76708 | 2006-07-11 |
| Find all providers in WACO | ||||
Please comment or provide details below to improve the information on DR. NORBERT R. BRAEUER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.