Organization
CENTER FOR ORTHOPAEDIC AND SPORTS MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT J BRAUN (CHIEF OPERATING OFFICER)
(724) 357-7234
Entity
Organization
Contact information
Practice address
120 IRMC DR, SUITE 160, INDIANA, PA 15701-3674
(724) 465-2676
(724) 349-1830
Mailing address
640 KOLTER DR, INDIANA, PA 15701-3570
(724) 357-7196
(724) 357-7279
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
MD034457E
PA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
MD034740E
PA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
MD065847L
PA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
OS008464L
PA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
MD064511L
PA
213E00000X
Podiatrist
SC004205R
PA
363A00000X
Physician Assistant
MA003026L
PA
363A00000X
Physician Assistant
MA003136L
PA
363L00000X
Nurse Practitioner
UP006419B
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007368550004
—
PA
Enumeration date
03/23/2006
Last updated
03/19/2019
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