Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRADEN ROBERT DASOVIC, MBBS
DeactivatedMR. BRADEN ROBERT DASOVIC, MBBS is a 2084A2900X healthcare provider located in SAINT CLOUD, Minnesota. NPI 1760047518 is deactivated in the NPPES registry. Verify at CMS.
2084A2900X · SAINT CLOUD, MN
This NPI has been deactivated.
The record was deactivated on December 16, 2019.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1760047518
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 7, 2019 (0.60928961748634 yrs)
- Last Updated
- Jun 6, 2025
- Deactivated
- Dec 16, 2019
- Licenses
-
036164918 (IL)036164918 (IL)79397 (MN)
Practice Information
- Address
-
1200 6TH AVE NSAINT CLOUD, MN, 563032735Browse MN providers · Browse ZIP 56303
- Phone
- 3202512700
- Primary Specialty
-
2084A2900X
2084A2900X
- Additional Specialty
- Clinical Neurophysiology
- Additional Specialty
- 2084A2900X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.