MR. DAVID A BRAUN


Address: 1505 Eastland Dr, Suite 1100, Bloomington, IL 61701-3591
Phone: 3096632100

MR. DAVID A BRAUN (NPI# 1568422806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568422806
Entity Type Individual
Full Name MR. DAVID A BRAUN
Credential MD
Practice Address 1505 Eastland Dr
Suite 1100
Bloomington
IL 61701-3591
Practice Telephone 3096632100
Practice Fax Number 3096638322
Mailing Telephone 3096632100
Mailing Fax Number 3096638322
Enumeration Date 2006-03-23
Last Update Date 2010-10-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine 33372 IA Allopathic & Osteopathic Physicians
Y 207Q00000X Family Medicine 036104222 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MEDICARE GROUP # IL2613 01
IL MEDICARE GROUP # 833120 01
RR MEDICARE GROUP # CA2264 01
IL SS# NOT ENTERED 05
IA WELLMARK BCBS 70254 01
RR INDIVIDUAL # P00748543 01

Other Providers DAVID BRAUN

NPI Name Taxonomy Address Enumeration
1316327836 David Braun Counselor 1502 South Blvd, Evanston, IL 60202-2730 2015-06-01
1508141003 David G Braun Hearing Instrument Specialist 6015 Durand Ave Ste 100, Mount Pleasant, WI 53406-5044 2011-10-15
1700806973 David J Braun Optometrist 120 Julian Pl, Syracuse, NY 13210-3460 2006-07-20
1235794843 David S Braun Internal Medicine 1441 N Beckley Ave, Dallas, TX 75203-1201 2019-05-08
1477991933 David Alexander Braun Internal Medicine 75 Francis St, Boston, MA 02115-6110 2013-06-06
1518201268 David Stuart Braun Physician Assistant 12605 E 16th Ave, Suite 230, Aurora, CO 80045-2545 2012-11-19
1538310214 David T Braun Orthopaedic Surgery 4820 Park Blvd N, Pinellas Park, FL 33781-3534 2008-10-01
1780878934 David Anthony Braun Chiropractor 3939 Wasatch Blvd, Salt Lake City, UT 84124-2216 2007-08-30
1043379654 David Braun Pediatrics 13652 Cantara St, Panorama City, CA 91402-5423 2006-12-08
1376637231 David Allan Braun Dentist 285 Main St, East Aurora, NY 14052-1636 2006-10-03

Office Location

Street Address 1505 EASTLAND DR
SUITE 1100
City BLOOMINGTON
State IL
Zip Code 61701-3591

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336142017 Yogesh K Agarwal Internal Medicine 1505 Eastland Dr, Ste 330, Bloomington, IL 61701-3534 2005-05-24
1073082384 Caroline J Turner Nurse Practitioner 1505 Eastland Dr, Bloomington, IL 61701-3534 2018-11-15
1548755366 Sunanda R Kale Nurse Practitioner 1505 Eastland Dr, Bloomington, IL 61701-3534 2018-06-25
1790294403 Sarah Kneip Nurse Practitioner 1505 Eastland Dr, Bloomington, IL 61701-3534 2017-09-26
1760909626 Hannah K Corley Nurse Practitioner 1505 Eastland Dr, Bloomington, IL 61701-3534 2017-08-23
1467827592 Kelly Karr Registered Nurse 1505 Eastland Dr, Bloomington, IL 61701-3534 2015-12-01
1205219607 Michele Krieger-johnsen Nurse Practitioner 1505 Eastland Dr, Bloomington, IL 61701-7905 2015-07-02
1326420563 Fresenius Medical Care Normal, LLC Clinic/Center 1505 Eastland Dr, Medical Plaza Lower Level, Bloomington, IL 61701-3534 2015-06-24
1588068803 Allison Vogel Physician Assistant 1505 Eastland Dr, Bloomington, IL 61701-3534 2014-10-15
1578964987 Kristin N Wilkins Clinical Nurse Specialist 1505 Eastland Dr, Suite 320, Bloomington, IL 61701-3534 2014-09-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770140964 County of Mclean Community/Behavioral Health 200 W Front St, 1st Floor Sw, C/o 200 W Front St, Suite 400f, Bloomington, IL 61701 2019-05-22
1023525292 Karli Johnson Counselor 200 W Monroe St Ste C7, Bloomington, IL 61701 2018-01-09
1487172409 Melody Ann Bauman Physician Assistant 1505 Eastland Dr, Osf Critical Cane, Pulmonary, Sleep M, Bloomington, IL 61701 2017-08-30
1215396288 Heidi Larsen Social Worker 902 S East St, Bloomington, IL 61701 2016-02-18
1558735126 Andrea E. Andrews Counseling LLC Counselor 200 W. Monroe St., Ste 302 C, Bloomington, IL 61701 2015-11-19
1174924856 Carole Hahn Dietitian, Registered 1406 Forrest St, Bloomington, IL 61701 2014-09-12
1558786392 Valerie Colleen Parker Counselor 109 W. Mulberry St., Bloomington, IL 61701 2014-03-04
1124459219 Matilde Francois Surgery 1505 Eastland Dr Ste 2300, Bloomington, IL 61701 2013-11-27
1922435114 Smitha H Shivaprasad Pharmacist 2611 East Oakland Avenue, Bloomington, IL 61701 2013-10-02
1295161941 Ashvin Patel Obstetrics & Gynecology 31 Country Club Pl, Bloomington, IL 61701 2013-09-25
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073165650 Genevieve Elon Monge Family Medicine 18651 Valley Blvd, Bloomington, CA 92316-1831 2019-07-12
1982117172 Andry Medical Services Family Medicine 451 S Park Ridge Rd Ste 101, Bloomington, IN 47401-8589 2017-11-09
1033459904 Charles R Farmer Family Medicine 3480 S Oak Ridge Dr, Bloomington, IN 47401-8926 2013-02-28
1467798504 James Anthony Ray Family Medicine 2001 E Hillside Dr Lot 4, Bloomington, IN 47401-6692 2012-12-18
1902140585 Fountain Healthcare Limited Liability Company Family Medicine 2412 E Washington St Ste 6, Bloomington, IL 61704-4497 2012-11-20
1306147236 Community Health Network Family Medicine 524 N Fairview St, Bloomington, IN 47404-3774 2010-11-09
1942501978 Premier Medical Group, LLC Family Medicine 2102 E Washington St, Bloomington, IL 61701-4321 2010-11-08
1356660666 Glen Edward Tomlinson Family Medicine 42 Crista Ann Ct, Bloomington, IL 61704-8699 2010-05-26
1285862664 Charles W Mcclary Family Medicine 1411 S Sare Rd, Bloomington, IN 47401-4431 2009-06-24
1982840005 Thomas Patterson Cairns Family Medicine 10258 Berkshire Rd, Bloomington, MN 55437-2265 2008-12-18
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Competitor

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City BLOOMINGTON
Zip Code 61701

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Dataset Information

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.

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