Provider Demographics
NPI:1659364537
Name:BRAUN, DENNIS R (MD)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:R
Last Name:BRAUN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:140 W. GERMANTOWN PIKE
Mailing Address - Street 2:SUITE 250
Mailing Address - City:PLYMOUTH MEETING
Mailing Address - State:PA
Mailing Address - Zip Code:19462-1421
Mailing Address - Country:US
Mailing Address - Phone:484-530-0205
Mailing Address - Fax:484-530-0209
Practice Address - Street 1:325 WEST GERMANTOWN PIKE
Practice Address - Street 2:SUITE 100
Practice Address - City:EAST NORRITON
Practice Address - State:PA
Practice Address - Zip Code:19403
Practice Address - Country:US
Practice Address - Phone:610-272-1881
Practice Address - Fax:610-275-8819
Is Sole Proprietor?:No
Enumeration Date:2005-08-25
Last Update Date:2020-08-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD045495E208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0011937160001Medicaid
PA593436Medicare PIN
PA0011937160001Medicaid