Kyle Braulick, is a
Physical Medicine & Rehabilitation - Sports Medicine physician based in Big Lake, Minnesota. Kyle Braulick is licensed to practice in Minnesota (license number 2000003555) and his current practice location is 5025 Edinburgh Way, Big Lake, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(507) 276-6102.
NPI number for Kyle Braulick is 1932502267 and his current mailing address is 5025 Edinburgh Way, Big Lake, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1932502267.
Physician's Profile
| Full Name | Kyle Braulick |
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| Gender | Male |
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| Speciality | Physical Medicine & Rehabilitation - Sports Medicine |
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| Location | 5025 Edinburgh Way, Big Lake, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1932502267
- Provider Enumeration Date: 10/01/2014
- Last Update Date: 10/01/2014
Medical Identifiers
Medical identifiers for Kyle Braulick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932502267 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | 2000003555 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kyle Braulick is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kyle Braulick,
5025 Edinburgh Way,
Big Lake, MN 55309-8271
Ph: () - | Kyle Braulick,
5025 Edinburgh Way,
Big Lake, MN 55309-8271
Ph: (507) 276-6102 |
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