Provider Demographics
NPI:1477529824
Name:BRAUN, MARY F (MD)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:F
Last Name:BRAUN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 S RIVER RD
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03110-6708
Mailing Address - Country:US
Mailing Address - Phone:603-629-2572
Mailing Address - Fax:
Practice Address - Street 1:207 S MAIN ST
Practice Address - Street 2:
Practice Address - City:NEWMARKET
Practice Address - State:NH
Practice Address - Zip Code:03857-1843
Practice Address - Country:US
Practice Address - Phone:603-659-3106
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2017-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH12524207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH020473740OtherUNITED HEALTHCARE
NHP00156344OtherRAILROAD MEDICARE
NH01YP07712NH01OtherANTHEM
NH02473740OtherHUMANA CHOICE CARE NETWOR
NHAA21345OtherHARVARD PILGRIM
NH020473740OtherTRICARE
NH020473740OtherHEALTHCARE VALUE MANAGEME
NH020473740OtherPRIVATE HEALTHCARE SYSTEM
NH2505877OtherCIGNA
NH020473740OtherGREAT WEST HEALTHCARE
NH30204702Medicaid
NH3707746OtherAETNA
NH020473740OtherGREAT WEST HEALTHCARE
NH020473740OtherPRIVATE HEALTHCARE SYSTEM