MEDICARE: DR. ELEANOR FRANCES 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	208000000X	Pediatrics Physician	42326	KY

Other Identifiers

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

General Provider Information

NPI Number	:	1043348451
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELEANOR FRANCES BRAUN M.D.

Provider Business Mailing Address
First Line	:	5120 DIXIE HWY
Second Line	:	SUITE 101
City	:	LOUISVILLE
State	:	KY
Zip	:	40216-1702
Country	:	US
Telephone Number	:	502-448-7853
Fax Number	:	502-448-0201

Provider Business Practice Location Address
First Line	:	5120 DIXIE HWY
Second Line	:	SUITE 101
City	:	LOUISVILLE
State	:	KY
Zip	:	40216-1702
Country	:	US
Telephone Number	:	502-448-7853
Fax Number	:	502-448-0201

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

Provider Enumeration Date	:	02/28/2007
Last Update Date	:	10/19/2016

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Directions to “ DR. ELEANOR FRANCES BRAUN M.D.” Practice Location

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