Provider Demographics
NPI:1871528232
Name:BRAUER, DAVID J (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:J
Last Name:BRAUER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3435 MAIN ST. MICHAEL HALL
Mailing Address - Street 2:UNIVERSITY OF BUFFALO STUDENT HEALTH SERVICES
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14214
Mailing Address - Country:US
Mailing Address - Phone:716-829-3316
Mailing Address - Fax:716-829-2564
Practice Address - Street 1:3435 MAIN ST. MICHAEL HALL
Practice Address - Street 2:UNIVERSITY OF BUFFALO STUDENT HEALTH SERVICES
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14214
Practice Address - Country:US
Practice Address - Phone:716-668-3600
Practice Address - Fax:716-656-4223
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2014-02-21
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Provider Licenses
StateLicense IDTaxonomies
NY237993207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY061122000036OtherFIDELIS
NY000000112563OtherFIDELIS
NY00027637901OtherUNIVERA
NY189879BFOtherPREFERRED CARE
NY0113880OtherIHA
NY11581954OtherCAQH
NYP00338496OtherMEDICARE RAILROAD
NY000528680001OtherBCBS
NY08494418Medicaid
NYI59943Medicare UPIN
NY189879BFOtherPREFERRED CARE