JACOB BRAUN (DO) – Emergency Medicine Physician, NPI 1124524624

JACOB BRAUN (DO) is a healthcare provider. based in Joint base lewis mcchord, Washington. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. 0102205801 (VA). The NPI Number for JACOB BRAUN (DO) is 1124524624

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
JACOB BRAUN (DO)
NPI
1124524624
Phone
(253) 968-2997
Address
9040 FITZSIMMONS DR
Enumeration Date
3 April 2018
Last Update Date
9 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3604934554
Graduation Year
2018 (8 years ago)
PAC ID
0749671394
Group Practice PAC ID
9335035633
Professional Enrollment ID
I20211215002510
Address ID
WA985065133OL413XXNEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:8State licenses:2Digital endpointsOther names

1,206 EMERGENCY MEDICINE in WA

Provider Addresses for JACOB BRAUN (DO)

  • 9040 FITZSIMMONS DR

    JOINT BASE LEWIS MCCHORD, WA 984311000

    Phone: (253) 968-2997

    Type: Location

  • 9040 Fitzsimmons Dr

    Joint Base Lewis McChord, WA 984311000

    Phone: (253) 968-2997

    Type: Location

  • 413 LILLY RD NE

    OLYMPIA, WA 985065133

    Phone: (360) 493-4554

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-12-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211215002510IEmergency MedicineWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making7676$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only5857$0
99291Critical care, first 30-74 minutes3333$0
99284Emergency department visit with moderate level of medical decision making1818$0
View full utilization report →

Insurance plans in this area (ZIP 98431)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9335035633View full group profile
NameSpecialtyState
Emergency MedicineWA
Emergency MedicineWA
Emergency MedicineTX
Emergency MedicinePA
-WA
Emergency MedicineTX
Emergency MedicineWA
-WA
Emergency MedicineKY
Emergency MedicineWA

Reviews

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Frequently asked questions

What is the standard ID for JACOB BRAUN (DO) in the U.S.?
In the U.S., JACOB BRAUN (DO) is identified by NPI 1124524624.
Is JACOB BRAUN (DO) currently accepting referrals based on NPI status?
Registry metadata lists JACOB BRAUN (DO) as active.
What type of care does JACOB BRAUN (DO) provide?
JACOB BRAUN (DO)'s profile centers on Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to JACOB BRAUN (DO)?
The directory associates JACOB BRAUN (DO) with Joint Base Lewis Mcchord, Washington. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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