Provider Demographics
NPI:1508802257
Name:BRAUN, KARL B (MD)
Entity Type:Individual
Prefix:
First Name:KARL
Middle Name:B
Last Name:BRAUN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 JOSEPH E SANKER BLVD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45212-1979
Mailing Address - Country:US
Mailing Address - Phone:513-841-7400
Mailing Address - Fax:513-841-7402
Practice Address - Street 1:10220 ALLIANCE RD
Practice Address - Street 2:
Practice Address - City:BLUE ASH
Practice Address - State:OH
Practice Address - Zip Code:45242-4710
Practice Address - Country:US
Practice Address - Phone:513-841-7800
Practice Address - Fax:513-841-7801
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2014-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-04-9090208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0685665Medicaid
OH340011130OtherRAILROAD MEDICARE
OH0276946Medicaid
KY64955198Medicaid
OH0685665Medicaid
OH0622986Medicare PIN
OH1114950018Medicare NSC
OH0622983Medicare PIN
OH0622984Medicare PIN