MEDICARE: CHAD BRAUN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	35-7004B	OH
2	207Q00000X	Family Medicine Physician	C179494	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00643739	OTHER		RAILROAD MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427161405
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHAD BRAUN M.D.

Provider Business Mailing Address
First Line	:	4791 E PALM CANYON DR
Second Line	:
City	:	PALM SPRINGS
State	:	CA
Zip	:	92264-5220
Country	:	US
Telephone Number	:	760-834-7930
Fax Number	:	760-834-7931

Provider Business Practice Location Address
First Line	:	4791 E PALM CANYON DR
Second Line	:
City	:	PALM SPRINGS
State	:	CA
Zip	:	92264-5220
Country	:	US
Telephone Number	:	760-834-7930
Fax Number	:	760-834-7931

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2006
Last Update Date	:	08/12/2022

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Directions to “ CHAD BRAUN M.D.” Practice Location

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