NPI 1811359003 · live from the CMS NPI Registry
Taylor Lee Braunberger, M.D.
Dermatology in Dickinson, ND. National Provider Identifier 1811359003, active.
NPI record
| NPI | 1811359003 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 2615 Fairway St, Dickinson, ND 58601 |
| Practice phone | 701-456-6000 |
| Mailing address | Po Box 5074, Sioux Falls, SD 57117 |
| Enumerated | March 25, 2016 |
| Last updated | January 29, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice | 208D00000X | 4301112111 (MI) |
| Dermatology primary | 207N00000X | 20321 (ND) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.