TAYLOR LEE BRAUNBERGER (NPI# 1811359003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811359003 |
| Entity Type | Individual |
| Full Name | TAYLOR LEE BRAUNBERGER |
| Credential | M.D. |
| Practice Address |
3031 W Grand Blvd Ste 800 Detroit MI 48202-3141 |
| Practice Telephone | 3139162171 |
| Mailing Telephone | 3139162171 |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2020-08-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 4301112111 | MI | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 4301112111 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
3031 W GRAND BLVD STE 800 |
| City | DETROIT |
| State | MI |
| Zip Code | 48202-3141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922072602 | Kathleen M Maksimowicz-mckinnon | Specialist | 3031 W Grand Blvd Ste 800, Detroit, MI 48202-3141 | 2006-02-17 |
| 1801356456 | Rebecca Wang | Student in an Organized Health Care Education/Training Program | 3031 W Grand Blvd Ste 800, Detroit, MI 48202-3141 | 2019-03-20 |
| 1780116301 | Angela Jiang | Student in an Organized Health Care Education/Training Program | 3031 W Grand Blvd Ste 800, Detroit, MI 48202 | 2017-04-02 |
| 1598133191 | Rajeev Kumar Sharma | Pharmacist | 3031 W Grand Blvd Ste 800, Henry Ford Medical Center- Pharmacy, Detroit, MI 48202-3141 | 2015-09-13 |
| 1477813855 | Ben Jacob Friedman | Dermatology | 3031 W Grand Blvd Ste 800, Detroit, MI 48202-3141 | 2012-05-21 |
| 1114283678 | Anna Rogers Axelson | Dermatology | 3031 W Grand Blvd Ste 800, Detroit, MI 48202-3141 | 2012-04-09 |
| 1417286998 | Leslie Diane Barrett | Dietitian, Registered | 3031 W Grand Blvd Ste 800, Detroit, MI 48202-3141 | 2009-12-14 |
| 1518195981 | Marla Nicole Jahnke | Dermatology | 3031 W Grand Blvd Ste 800, Detroit, MI 48202-3141 | 2009-06-24 |
| 1588863260 | Denise Woo | Dermatology | 3031 W Grand Blvd Ste 800, Detroit, MI 48202-3141 | 2007-07-13 |
| 1386775526 | Terra Lee Cushman | Registered Nurse | 3031 W Grand Blvd Ste 800, Detroit, MI 48202-3141 | 2007-03-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584602 | Andrea Irene Martin | Audiologist | 2799 E Grand Blvd, Detroit, MI 48202 | 2020-10-05 |
| 1174132583 | Odei Alayyas | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 | 2020-07-31 |
| 1912529801 | Aroob Nabil Nimer Sweidan | Student in an Organized Health Care Education/Training Program | 2799 West Grand Boulvard, Department of Internal Meidicine, Cfp 1, Detroit, MI 48202 | 2020-05-13 |
| 1306485636 | Katie Burlen-davis | Registered Nurse | 9045 Woodward Ave, Detroit, MI 48202 | 2020-01-03 |
| 1407401250 | Santhalakshmi Angappan | Student in an Organized Health Care Education/Training Program | Henry Ford Hospital Medical Education Department, 2799 W. Grand Boulevard, Detroit, MI 48202 | 2019-08-08 |
| 1851945687 | Walter Mitini Etoh | Nurse Practitioner | Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 | 2019-07-30 |
| 1467913756 | Andrew Michael Schock | Emergency Medicine | Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 | 2019-03-28 |
| 1700363892 | Zaid Al-saheli | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvdl, Cfp 046, Hope Peck, Detroit, MI 48202 | 2018-07-23 |
| 1932690096 | Yusuf Naser Alalwan | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvd. Henry Ford Hospital - Gme Office, Detroit, MI 48202 | 2018-05-24 |
| 1568952729 | Kelvin Sellers | Massage Therapist | 832 Seward, Detriot, MI 48202 | 2018-05-14 |
| Find all providers in zip 48202 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396278099 | Sasank Konda | Dermatology | 3031 W. Grand Blvd., 8th Floor, Dept. of Dermatology, Detroit, MI 48202 | 2017-04-10 |
| 1952613168 | Brittany Dawn Carter-snell | Dermatology | 72 Erskine Street, Detroit, MI 48201-2702 | 2010-07-06 |
| 1922206580 | Carol Prince | Dermatology | 1610 West Seven Mile Rd., Detroit, MI 48203 | 2007-07-05 |
| 1083711725 | James A Brown | Dermatology | 22151 Moross, Suite 234, Detroit, MI 48236 | 2006-09-17 |
| 1346284551 | University Dermatology | Dermatology | 50 East Canfield St., Detroit, MI 48201 | 2006-06-16 |
| 1467406439 | Karen Ann Heidelberg | Dermatology | 20400 Livernois Ave, Detroit, MI 48221-1348 | 2006-05-22 |
| 1619438637 | Linna L Guan | Dermatology | 3031 W Grand Blvd Fl 8, Detroit, MI 48202-3046 | 2019-03-31 |
| 1184120602 | Elena Maxim Kurland | Dermatology | 2799 W Grand Blvd, Detroit, MI 48202 | 2018-04-03 |
| 1740731462 | Carter Snell Skin Center Plc | Dermatology | 72 Erskine Street, Detroit, MI 48201-2702 | 2016-10-18 |
| 1558723619 | Allison Zarbo | Dermatology | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2016-03-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.