Healthcare Provider Details

I. General information

NPI: 1821251083
Provider Name (Legal Business Name): AARON R BRAUN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2008
Last Update Date: 07/21/2020
Certification Date: 07/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4242 FARNAM ST STE 490
OMAHA NE
68131-2850
US

IV. Provider business mailing address

16206 CALIFORNIA ST
OMAHA NE
68118-2508
US

V. Phone/Fax

Practice location:
  • Phone: 402-552-3015
  • Fax: 402-552-3028
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberR70248
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number28987
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: