Provider Demographics
NPI:1366411647
Name:BRAUER, CHRISTOPHER M (MD)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:M
Last Name:BRAUER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 ELLIOT WAY
Mailing Address - Street 2:HOSPITALIST PROGRAM - ELLIOT HOSPITAL
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03103-3502
Mailing Address - Country:US
Mailing Address - Phone:603-663-2271
Mailing Address - Fax:603-663-2273
Practice Address - Street 1:1 ELLIOT WAY
Practice Address - Street 2:HOSPITALIST PROGRAM - ELLIOT HOSPITAL
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03103-3502
Practice Address - Country:US
Practice Address - Phone:603-663-2271
Practice Address - Fax:603-663-2273
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2009-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH11554207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHH52014OtherANTHEM REFERRING PIN
NH011554OtherTUFTS PIN
NH01Y003741NH02OtherANTHEM ACES #
NH3206916OtherAETNA PIN
NH692665OtherHPHC
NH30202038Medicaid
NH579604OtherCIGNA PIN
NH0407214OtherUNITED HC
NHP00014352OtherRR MEDICARE
NH01Y003741NH02OtherANTHEM ACES #
NH30202038Medicaid