MEDICARE: LEO BRAYMAN MD

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	4351048763APP21	MI

General Provider Information

NPI Number	:	1558937318
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEO BRAYMAN MD

Provider Business Mailing Address
First Line	:	595 BARCLAY CIR STE D
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48307-5802
Country	:	US
Telephone Number	:	248-852-5355
Fax Number	:	248-852-8411

Provider Business Practice Location Address
First Line	:	595 BARCLAY CIR STE D
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48307-5802
Country	:	US
Telephone Number	:	248-852-5355
Fax Number	:

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

Provider Enumeration Date	:	06/02/2021
Last Update Date	:	05/06/2026

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Directions to “ LEO BRAYMAN MD” Practice Location

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