Eric Joseph Braum, DMD
Student in an Organized Health Care Education/Training Program in Watertown, WI. Individual provider (NPI-1).
NPI number1750138202
StatusActive
Last updated in NPPESJun 1, 2024
Details
- NPI
- 1750138202
- Entity type
- Individual (NPI-1)
- Name
- Eric Joseph Braum
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 2, 2024
- Certification date
- Jun 1, 2024
- Last updated
- Jun 1, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 122300000X | Dentist | 60015200-15 | WI |
Practice location
1149 Boughton St Bldg BWatertown, WI 53094-3104
Phone 920-261-0495
Mailing address
7926 30th AveKenosha, WI 53142-4612
Phone 262-705-7967
Other practice locations
846 E Reinel St
Jefferson, WI 53549-9443
Jefferson, WI 53549-9443
Phone 920-674-6714
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Student in an Organized Health Care Education/Training Program providers in Watertown, WI
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.