Provider Demographics
NPI:1629065974
Name:BRAMAN, MARCUS ALLAN (MD)
Entity Type:Individual
Prefix:DR
First Name:MARCUS
Middle Name:ALLAN
Last Name:BRAMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:MARC
Other - Middle Name:
Other - Last Name:BRAMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD, MPH
Mailing Address - Street 1:PO BOX 4141
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97302-8141
Mailing Address - Country:US
Mailing Address - Phone:971-983-5433
Mailing Address - Fax:971-983-5434
Practice Address - Street 1:1025 2ND ST NW
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97304-4001
Practice Address - Country:US
Practice Address - Phone:971-983-5433
Practice Address - Fax:971-983-5434
Is Sole Proprietor?:No
Enumeration Date:2005-10-03
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD216302083X0100X, 2083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
No2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR025873Medicaid
OR025873Medicaid