DAVID CORWIN BRAAK MD
NPI 1104402205
Family Medicine in Greeley, CO
About David Corwin Braak Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAVID CORWIN BRAAK MD (NPI 1104402205) is an individual family medicine provider in Greeley, Colorado, licensed in Utah (12959890-1205) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Provo, and is a graduate of Medical University Of South Carolina College Of Medicine (2021).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
David Corwin Braak Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show David Braak reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Greeley, CO 80634
- Reassigned Medicare billing, Colorado enrollment
- 163 clinicians in this Medicare group
Heber City, UT 84032
- Reassigned Medicare billing, Utah enrollment
- 3,691 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 80631 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is David Braak's NPI number?
The NPI number for David Braak is 1104402205. It was assigned to this individual provider in the NPPES registry on March 20, 2021.
Where is David Braak located?
David Braak practices at 1801 16th St, Greeley, CO 80631. The listed phone number is (970) 810-4121.
What is David Braak's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is David Braak enrolled in Medicare?
Yes. David Braak is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for David Braak's services?
According to the CMS Revalidation Reassignment List (October 2026 release), David Braak reassigns Medicare benefits to 2 organizations: Banner Hospital Based Physicians Colorado LLC (Greeley, CO) and Ihc Health Services Inc (Heber City, UT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Braak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for David Braak was last updated on July 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# David Corwin Braak, MD · NPI 1104402205
Family Medicine physician in Greeley, Colorado. Individual provider, active in the CMS NPPES registry since March 20, 2021.
## Identity
- **NPI:** 1104402205 (Entity type: Individual)
- **Enumerated:** March 20, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 12959890-1205 (Utah)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1801 16TH ST, Greeley, CO 80631-5199
- **Phone:** (970) 810-4121
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Banner Hospital Based Physicians Colorado LLC (NPI 1821336769, Greeley, CO); Ihc Health Services Inc (NPI 1396155065, Heber City, UT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Medical University Of South Carolina College Of Medicine, class of 2021
## Record status
- **NPPES last updated:** July 21, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1104402205) · Data from the CMS NPPES public registry.