Provider Demographics
NPI:1568583219
Name:BRAUER & ASSOCIATES, PC
Entity Type:Organization
Organization Name:BRAUER & ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:D
Authorized Official - Last Name:BRAUER
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:301-695-5800
Mailing Address - Street 1:700 MONTCLAIRE AVE
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21701-4509
Mailing Address - Country:US
Mailing Address - Phone:301-695-5800
Mailing Address - Fax:301-695-3139
Practice Address - Street 1:700 MONTCLAIRE AVE
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-4509
Practice Address - Country:US
Practice Address - Phone:301-695-5800
Practice Address - Fax:301-695-3139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2009-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD15691225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD838LMedicare ID - Type Unspecified