MEDICARE: DENNIS R BRAUN 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	208800000X	Urology Physician	MD045495E	PA

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	:	1659364537
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENNIS R BRAUN MD

Provider Business Mailing Address
First Line	:	140 W. GERMANTOWN PIKE
Second Line	:	SUITE 250
City	:	PLYMOUTH MEETING
State	:	PA
Zip	:	19462-1421
Country	:	US
Telephone Number	:	484-530-0205
Fax Number	:	484-530-0209

Provider Business Practice Location Address
First Line	:	325 WEST GERMANTOWN PIKE
Second Line	:	SUITE 100
City	:	EAST NORRITON
State	:	PA
Zip	:	19403
Country	:	US
Telephone Number	:	610-272-1881
Fax Number	:	610-275-8819

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

Provider Enumeration Date	:	08/25/2005
Last Update Date	:	08/20/2020

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