Individual
JEFFREY E BRAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1838 GREENE TREE RD, 420, BALTIMORE, MD 21208-6391
(410) 484-9595
(410) 484-5139
Mailing address
400 REDLAND CT, SUITE 208, OWINGS MILLS, MD 21117-3290
(410) 494-7921
(410) 902-8247
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
D0052302
MD
207RP1001X
Pulmonary Disease Physician
Primary
D0052302
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0019 E554
BLUE CHOICE FEP
MD
01
—
1898751
UNITED HEALTHCARE
—
01
—
290012457
RAILROAD MEDICARE
—
01
—
294438
MAMSI
—
01
—
4800350
UNITED HEALTHCARE MCO
—
01
—
75845501 420A
BLUE SHIELD
MD
Enumeration date
10/04/2006
Last updated
08/28/2012
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