NICHOLAS C BRAUTIGAM (NPI# 1780926212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780926212 |
| Entity Type | Individual |
| Full Name | NICHOLAS C BRAUTIGAM |
| Credential | M.D. |
| Practice Address |
9000 N Main St Englewood OH 45415 |
| Mailing Address |
10949 Shallow Creek Ct Centerville OH 45458-7501 |
| Practice Telephone | 9377349530 |
| Mailing Telephone | 8064451500 |
| Mailing Fax Number | 8064451500 |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2020-07-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 35.127322 | OH | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437774999 | Nicholas Alan Brautigam | Chiropractor | 960 Schillinger Rd S, Suite D, Mobile, AL 36695 | 2020-06-10 |
| Street Address |
9000 N MAIN ST |
| City | ENGLEWOOD |
| State | OH |
| Zip Code | 45415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043824725 | Benjamin Deloss Mishler | Family Medicine | 9000 N Main St, Englewood, OH 45415-1180 | 2020-09-01 |
| 1992313431 | Chris Ticknor | Pharmacist | 9000 N Main St, Englewood, OH 45415-1180 | 2020-07-21 |
| 1134744378 | Stacey Michelle Callison | Nurse Practitioner | 9000 N Main St, Englewood, OH 45415-1180 | 2020-06-13 |
| 1417576299 | Susan Marie Knapke | Dietitian, Registered | 9000 N Main St, Englewood, OH 45415-1180 | 2020-04-13 |
| 1215556071 | Lindsay Nicole Schultz | Dietitian, Registered | 9000 N Main St, Englewood, OH 45415-1180 | 2020-04-13 |
| 1306352216 | Thomas J Kroner | Pharmacist | 9000 N Main St, Englewood, OH 45415-1180 | 2017-12-15 |
| 1730620709 | Gregory Sutton | Specialist/Technologist | 9000 N Main St, Englewood, OH 45415-1180 | 2017-03-10 |
| 1598201584 | Janette E Dale | Nurse Practitioner | 9000 N Main St, Englewood, OH 45415 | 2017-01-13 |
| 1124560016 | Amy Renee Letts | Nurse Practitioner | 9000 N Main St, Suite 305, Englewood, OH 45415-1180 | 2016-11-09 |
| 1679024475 | Anne Antalovich | Audiologist | 9000 N Main St, Suite 319, Englewood, OH 45415-1180 | 2016-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457881062 | Angelique Oluyitan | Registered Nurse | 50 Granite Dr, Dayton, OH 45415 | 2017-06-15 |
| 1255869244 | Sherry Marie Buchanan | Occupational Therapy Assistant | 140 Ewoodbury Dr, Dayton, OH 45415 | 2017-06-02 |
| 1417328972 | Thomas Riddell | Hearing Instrument Specialist | 5525 N. Main St, Dayton, OH 45415 | 2015-10-09 |
| 1932448537 | Mory Summer | General Practice | 141 Trailwoods Dr., Dayton, OH 45415 | 2013-02-04 |
| 1184909095 | Yolanda Jean Jenkins | Registered Nurse | 6339 Afton Drive, Dayton, OH 45415 | 2011-10-12 |
| 1023392560 | Megan E Betts | Specialist/Technologist, Other | 9000 N Main St. Ste 303, Dayton, OH 45415 | 2011-10-03 |
| 1356655195 | Gwendolyn L. Warren | Massage Therapist | 8393 N. Main St., Ste B, Dayton, OH 45415 | 2010-08-04 |
| 1811141559 | Dayton Physicians, LLC | Durable Medical Equipment & Medical Supplies | 9000 N Main St Suite 333, Dayton, OH 45415 | 2008-11-07 |
| 1730331224 | Joel Metze | Obstetrics & Gynecology | 9000 N Main St Ste 232, Englewood, OH 45415 | 2008-10-16 |
| 1023236247 | James Otis Hurst | Dentist | 9000 N. Main Street, Suite 207, Dayton, OH 45415 | 2007-04-23 |
| Find all providers in zip 45415 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598926180 | James S Cohen | Emergency Medicine | 431 Lewelen Circle, Englewood, NJ 07631-2024 | 2008-06-17 |
| 1073636809 | James Michael Cusick | Emergency Medicine | 10309 E Lake Dr, Englewood, CO 80111-5499 | 2007-04-08 |
| 1619080165 | Michael J Annunziata | Emergency Medicine | 1676 New Point Comfort Rd, Englewood, FL 34223-4878 | 2006-08-17 |
| 1063490159 | Stanley F Siefer | Emergency Medicine | 901 W Hampden Ave, Suite 103, Englewood, CO 80110-7331 | 2006-01-09 |
| 1538145701 | Diahn E. Lohman | Emergency Medicine | 4960 S Lafayette Ln, Englewood, CO 80113-7013 | 2005-12-20 |
| 1942283569 | Gregory W. Burcham | Emergency Medicine | 501 E. Hampden Avenue, Englewood, CO 80113-2702 | 2005-11-29 |
| 1740288570 | Sau Yan Yee | Emergency Medicine | 245 Engle St, Englewood, NJ 07631-2465 | 2005-07-14 |
| 1518960772 | Kendal Barton Stiles | Emergency Medicine | 2140 Lemon Ave, Englewood, FL 34223-6453 | 2005-05-23 |
| 1124021316 | Englewood Emergency Physicians Pa | Emergency Medicine | 700 Medical Blvd, Englewood, FL 34223-3964 | 2005-05-23 |
| 1184118945 | Kristen Amo Sena | Emergency Medicine | 501 E Hampden Ave, Englewood, CO 80113-2702 | 2018-06-15 |
| Find all providers in ENGLEWOOD | ||||
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| 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.