MEDICARE: DR. ROBYNNE M. BRAUN MD, PHD

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	207R00000X	Internal Medicine Physician	125060340	IL
2	208100000X	Physical Medicine & Rehabilitation Physician	60289294	WA
3	208100000X	Physical Medicine & Rehabilitation Physician	D0080234	MD
4	390200000X	Student in an Organized Health Care Education/Training Program

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	:	1821387614
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBYNNE M. BRAUN MD, PHD

Provider Business Mailing Address
First Line	:	401 N MICHIGAN AVE SUITE 1200
Second Line	:	INTEGRATED REHAB CONSULTANTS
City	:	CHICAGO
State	:	IL
Zip	:	60611-4255
Country	:	US
Telephone Number	:	312-635-0973
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 N GILMOR ST
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21217-2207
Country	:	US
Telephone Number	:	410-669-2750
Fax Number	:

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

Provider Enumeration Date	:	04/01/2011
Last Update Date	:	11/26/2015

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