DR. STEPHANIE JILL BRAVERMAN MD
NPI 1447712294
Pediatrics in Fort Campbell, KY

Q: What is Stephanie Braverman's NPI number?

The NPI number for Stephanie Braverman is 1447712294. It was assigned to this individual provider in the NPPES registry on April 2, 2019.

Q: What is Stephanie Braverman's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since April 02, 2019

650 JOEL DR, FORT CAMPBELL, KY 42223(270) 798-8258 Get Directions Write a Review

NPPES record last updated: June 13, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 13, 2023, Jan 22, 2021, Apr 2, 2019 (3 updates tracked since 2019).

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About Dr. Stephanie Jill Braverman Md NPPES

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

DR. STEPHANIE JILL BRAVERMAN MD (NPI 1447712294) is an individual pediatrics provider in Fort Campbell, Kentucky, licensed in Virginia (0101271008) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1447712294

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. STEPHANIE JILL BRAVERMANCredential: MD

Location Address650 JOEL DRFort Campbell, KY 42223-5318

Mailing Address650 Joel DrFort Campbell, KY 42223-5318

Phone(270) 798-8258

Sole ProprietorNo

Enumeration DateApril 2, 2019

Last NPPES UpdateJune 13, 20233 updates tracked since enumeration

NPPES CertifiedJune 13, 2023

✔ NPI 1447712294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in VA · 0101271008

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedGeneral PracticeTaxonomy 208D00000X · License 0101271008 (VA)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

650 JOEL DR, Fort Campbell, KY 42223

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Other Identifiers 1

Other39020000XUnlicensed Provider

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.

LISA RENEE CORDELL RN

Registered Nurse