MEDICARE: ROBERT J BRAUER DO

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	2084P0800X	Psychiatry Physician	34 007242	OH
2	208D00000X	General Practice Physician	34.007242	OH

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

General Provider Information

NPI Number	:	1063401412
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT J BRAUER DO

Provider Business Mailing Address
First Line	:	PO BOX 932127
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44194-0001
Country	:	US
Telephone Number	:	216-472-2730
Fax Number	:	216-472-2740

Provider Business Practice Location Address
First Line	:	2351 E 22ND ST
Second Line	:	PSYCHIATRY DEPT
City	:	CLEVELAND
State	:	OH
Zip	:	44115-3111
Country	:	US
Telephone Number	:	216-363-2538
Fax Number	:	216-694-4604

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

Provider Enumeration Date	:	10/18/2005
Last Update Date	:	08/01/2025

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