Individual
DR. JOHN WILLIAM BRAUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
510 S KINGSHIGHWAY BLVD, DEPT RADIOLOGY, SAINT LOUIS, MO 63110-1016
(314) 362-7200
(314) 747-4189
Mailing address
660 S EUCLID AVE, CB 8131, SAINT LOUIS, MO 63110-1010
(314) 362-7200
(314) 747-4189
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
05-47455
KS
2085R0202X
Diagnostic Radiology Physician
Primary
2022017553
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004030034
PTAN
KS
05
—
10030305400
—
NE
05
—
30004649070002
—
KS
Enumeration date
04/04/2017
Last updated
03/02/2026
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