Kyle Brauman, is a
Dietitian, Registered based in Fairbury, Illinois. Kyle Brauman is licensed to practice in Illinois (license number ) and his current practice location is
404 W Pine St, Fairbury, Illinois. He can be reached at his office (for appointments etc.) via phone at
(815) 419-7597.
NPI number for Kyle Brauman is 1942175120 and his current mailing address is 404 W Pine St, Fairbury, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1942175120.
Healthcare Provider's Profile
| Full Name | Kyle Brauman |
|---|
| Gender | Male |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 404 W Pine St, Fairbury, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1942175120
- Provider Enumeration Date: 10/08/2025
- Last Update Date: 10/08/2025
Medical Identifiers
Medical identifiers for Kyle Brauman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1942175120 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | (Illinois) | 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 Brauman 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 Brauman, 404 W Pine St, Fairbury, IL 61739-1449 Ph: (815) 419-7597 | Kyle Brauman, 404 W Pine St, Fairbury, IL 61739-1449 Ph: (815) 419-7597 |
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