MR. DAVID A BRAUN MD NPI 1568422806

NPI Information

  • NPI: 1568422806
  • Provider Name: MR. DAVID A BRAUN, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1505 EASTLAND DR
    SUITE 1100
    BLOOMINGTON, IL
    ZIP 61701
  • Phone: (309) 663-2100

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NPI Details

MR. David A Braun, MD is a family medicine in Bloomington, IL. The provider is 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. MR. David A Braun, MD NPI is 1568422806. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1505 EASTLAND DR
SUITE 1100
BLOOMINGTON, IL
ZIP 61701-591
Phone: (309) 663-2100
Fax: (309) 663-8322

The NPI 1568422806 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/23/2006 and was last updated on 10/13/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine33372IOWANo
2207Q00000XFamily Medicine036104222ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1I21107MEDICARE PINIOWA
2H13090MEDICARE UPIN
3CA2264OTHERRR MEDICARE GROUP #
4IL2613OTHERMEDICARE GROUP #
5833120005MEDICARE PIN
670254OTHERIOWAWELLMARK BCBS
7IL2613058MEDICARE PIN
8833120OTHERILLINOISMEDICARE GROUP #
9P00748543OTHERRR INDIVIDUAL #
10SS# NOT ENTEREDMEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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