Provider Demographics
NPI:1558454041
Name:BRAUNSTEIN, MICHAEL CRAIG (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:CRAIG
Last Name:BRAUNSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:939 S DECATUR BLVD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89107-3918
Mailing Address - Country:US
Mailing Address - Phone:702-388-1661
Mailing Address - Fax:702-384-0103
Practice Address - Street 1:939 S DECATUR BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89107-3918
Practice Address - Country:US
Practice Address - Phone:702-388-1661
Practice Address - Fax:702-384-0103
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2014-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV3143207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV002018514Medicaid
NV38586Medicare PIN
NV002018514Medicaid