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KORT THOMAS BRAEUTIGAM MHA
NPI 1659073435
Student in an Organized Health Care Education/Training Program in Orange Park, FL

Active since March 17, 2023
2001 KINGSLEY AVE, ORANGE PARK, FL 32073(904) 639-2022 Get Directions Write a Review

NPPES record last updated: March 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kort Thomas Braeutigam Mha NPPES

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

KORT THOMAS BRAEUTIGAM MHA (NPI 1659073435) is an individual student in an organized health care education/training program in Orange Park, Florida and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1659073435
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKORT THOMAS BRAEUTIGAMCredential: MHA
Location Address2001 KINGSLEY AVEOrange Park, FL 32073-5148
Mailing Address2001 Kingsley AveOrange Park, FL 32073-5148 · (904) 639-2022
Phone(904) 639-2022
Sole ProprietorYes
Enumeration DateMarch 17, 2023
NPPES CertifiedMarch 17, 2023
✔ NPI 1659073435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2001 KINGSLEY AVE, Orange Park, FL 32073
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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.

DR. FORREST KING M.D.
Emergency Medicine
2001 KINGSLEY AVE
ORANGE PARK, FL 32073
Clay County (904) 639-8500
DIANA LYNN BRIDGES ARNP
Nurse Practitioner (Family)
2001 KINGSLEY AVE
ORANGE PARK, FL 32073
Clay County (904) 639-8500
TOMAS LUKE LAMBERT MD
Student in an Organized Health Care Education/Training Program
2001 KINGSLEY AVE
ORANGE PARK, FL 32073
Clay County (904) 639-2000
CHRISTY GIEGER PA-C
Physician Assistant (Surgical)
2001 KINGSLEY AVE
ORANGE PARK, FL 32073
Clay County (904) 314-7733
DR. BENJAMIN ROBERT COOPER DO
Student in an Organized Health Care Education/Training Program
2001 KINGSLEY AVE
ORANGE PARK, FL 32073
Clay County (904) 639-8500
CHIRAAG ASHOKKUMAR MD
Student in an Organized Health Care Education/Training Program
2001 KINGSLEY AVE
ORANGE PARK, FL 32073
Clay County (904) 639-2005
DR. ALEXANDER NATHANIEL HOWELL DO
Dermatology
2001 KINGSLEY AVE
ORANGE PARK, FL 32073
Clay County (904) 639-2000
KUNAL PATEL DO
Student in an Organized Health Care Education/Training Program
2001 KINGSLEY AVE
ORANGE PARK, FL 32073
Clay County (904) 639-2005

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 Kort Braeutigam's NPI number?

The NPI number for Kort Braeutigam is 1659073435. It was assigned to this individual provider in the NPPES registry on March 17, 2023.

Where is Kort Braeutigam located?

Kort Braeutigam practices at 2001 Kingsley Ave, Orange Park, FL 32073. The listed phone number is (904) 639-2022.

What is Kort Braeutigam's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kort Braeutigam was last updated on March 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.