Braverman, Stuart E
Braverman, Stuart E is an individual health care provider with primary practice located at Pueblo At Bath St , Santa Barbara CA 93102-0689. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Braverman, Stuart E can be contacted via phone (805) 569-7279.Contact Information
Primary practice address
Pueblo At Bath St
Santa Barbara CA 93102-0689
Phone: (805) 569-7279
Fax: (805) 569-8279
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | G61296 | California |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | G61296 | California |
Profile Details
| NPI number | 1811940901 |
|---|---|
| LBN Legal business name | Braverman, Stuart E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2006 |
| Last updated | Jun 25th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811940901 | NPPES |
| California | Other | 00G612960 | BLUE SHIELD OF CA |
| California | Other | P00324976 | BLUE SHIELD OF CA |
| California | Other | 050396CF30626 | BLUE SHIELD OF CA |
| California | MEDICAID | 00G612960 | BLUE SHIELD OF CA |
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