Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 15820 | NH |
N | 207X00000X | Orthopaedic Surgeon | LT 3183 | NH |
Y | 207XS0117X | Orthopaedic Spine Surgeon | 042-0011166 | VT |
N | 207XS0117X | Orthopaedic Spine Surgeon | 15820 | NH |
N | 207XS0117X | Orthopaedic Spine Surgeon | LT 3183 | NH |
NPI | 1225083769 |
---|---|
Provider Name | John Thomas Braun |
First Address | Barre, VT 05641-0547 |
Second Address | Waterbury Center, VT 05677-7026 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2006 |
Last Update Date | 21/12/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1012671 | (05) | VT |
3078713 | (05) | NH |