Healthcare Provider Details

I. General information

NPI: 1346213196
Provider Name (Legal Business Name): DAVID A BRAUNER DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/10/2006
Last Update Date: 12/12/2022
Certification Date: 12/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 SPRINGFIELD DR
CHICO CA
95928-5995
US

IV. Provider business mailing address

PO BOX 200368
ANCHORAGE AK
99520-0368
US

V. Phone/Fax

Practice location:
  • Phone: 530-781-1440
  • Fax:
Mailing address:
  • Phone: 907-770-2380
  • Fax: 907-770-2390

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number2018
License Number StateAK
# 2
Primary TaxonomyN
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License Number2018
License Number StateAK
# 3
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number18384
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: