Individual
CHARLES BRAUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 W MAPLE ST, SAN JUAN REGIONAL MEDICAL CENTER / HOSPITALISTS, FARMINGTON, NM 87401-5630
(505) 609-6463
Mailing address
PO BOX 6210, FARMINGTON, NM 87499-6210
(505) 609-2258
(505) 609-2259
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
82-15
NM
207RP1001X
Pulmonary Disease Physician
82-15
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10002483
LOVELACE HEALTH/SALUD
NM
01
—
201033382
PRESBYTERIAN HEALTH/SALUD
NM
01
—
290013840
RAILROAD MEDICARE
—
01
—
595796
AHCCCS
AZ
01
—
85031326887301A022
CHAMPUS
—
05
—
G5853
—
NM
01
—
NM009570
BC/BS
NM
01
—
PROVP11372
MOLINA
NM
Enumeration date
01/05/2006
Last updated
10/29/2009
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