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DR. STEPHANIE GAIL BRAUNTHAL DO
NPI 1124555073
Internal Medicine in Providence, RI

Active since May 22, 2017PECOS EnrolledAccepts Medicare Assignment
100 DUDLEY STREET, WIH OBSTETRIC AND CONSULTATIVE MEDICINE, PROVIDENCE, RI 02905(401) 453-7950(401) 453-7748 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 14, 2023, Jul 21, 2022, Sep 6, 2020 and 1 more (4 updates tracked since 2017).

About Dr. Stephanie Gail Braunthal Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. STEPHANIE GAIL BRAUNTHAL DO (NPI 1124555073) is an individual internal medicine provider in Providence, Rhode Island, licensed in Rhode Island (DO01094) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, is affiliated with Women & Infants Hospital Of Rhode Island, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1124555073
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. STEPHANIE GAIL BRAUNTHALCredential: DO
Location Address100 DUDLEY STREET, WIH OBSTETRIC AND CONSULTATIVE MEDICINEProvidence, RI 02905
Mailing Address455 Toll Gate Rd, Prc And CredentialingWarwick, RI 02886-2759 · (401) 273-0641 · Fax (401) 273-2919
Phone(401) 453-7950
Fax(401) 453-7748
Sole ProprietorYes
Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 2017
Enumeration DateMay 22, 2017
Last NPPES UpdateApril 14, 20254 updates tracked since enumeration
NPPES CertifiedApril 14, 2025
✔ NPI 1124555073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in RI · DO01094
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
100 DUDLEY STREET, Providence, RI 02905
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Secondary Practice Locations 2

Location 1101 Dudley Street, Women & Infants HospitalProvidence, RI 02905 · Phone (401) 453-7950
Location 2101 Plain St Fl 6Providence, RI 02903-4829 · Phone (401) 274-1122 · Fax (401) 453-7622

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Stephanie Gail Braunthal Do 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.

PECOS PAC ID7810268406
PECOS Enrollment IDI20230817003358
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
13 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Women & Infants Hospital Of Rhode Island

Acute Care Hospitals · Providence, RI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410010
Location101 Dudley StreetProvidence, RI 02905 · Providence County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02905 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Stephanie Braunthal's NPI number?

The NPI number for Stephanie Braunthal is 1124555073. It was assigned to this individual provider in the NPPES registry on May 22, 2017.

Where is Stephanie Braunthal located?

Stephanie Braunthal practices at 100 Dudley Street Wih Obstetric And Consultative Medicine, Providence, RI 02905. The listed phone number is (401) 453-7950.

What is Stephanie Braunthal's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Stephanie Braunthal enrolled in Medicare?

Yes. Stephanie Braunthal 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.

Is Stephanie Braunthal affiliated with any hospitals?

According to CMS data, Stephanie Braunthal is affiliated with Women & Infants Hospital Of Rhode Island.

When was this NPI record last updated?

The NPPES record for Stephanie Braunthal was last updated on April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.