Individual
DR. SCOTT JAMES BRAUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4004 CAMPBELL ST, VALPARAISO, IN 46385-1773
(219) 465-1140
(219) 465-0903
Mailing address
4004 CAMPBELL ST, VALPARAISO, IN 46385-1773
(219) 465-1140
(219) 465-0903
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002287A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000496065
BLUE CROSS BLUE SHIELD
IN
01
—
000000565048
BLUE CROSS / BLUE SHIELD
IN
01
—
08002287A
STATE LICENSE
IN
05
—
200838040
—
IN
01
—
P00389901
RAILROAD MEDICARE
IN
Enumeration date
09/24/2006
Last updated
10/26/2011
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