MEDICARE: COLENE BRAUER

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	235Z00000X	Speech-Language Pathologist	SAH-2026-0005	NM

General Provider Information

NPI Number	:	1982556650
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COLENE BRAUER

Provider Business Mailing Address
First Line	:	3401 E 30TH ST STE A
Second Line	:
City	:	FARMINGTON
State	:	NM
Zip	:	87402-8805
Country	:	US
Telephone Number	:	505-324-9840
Fax Number	:	855-290-2205

Provider Business Practice Location Address
First Line	:	3401 E 30TH ST STE A
Second Line	:
City	:	FARMINGTON
State	:	NM
Zip	:	87402-8805
Country	:	US
Telephone Number	:	505-324-9840
Fax Number	:	855-290-2205

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

Provider Enumeration Date	:	02/13/2026
Last Update Date	:	02/13/2026

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Directions to “ COLENE BRAUER ” Practice Location

Language	Start Address	Practice Location

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