Individual provider Active NPI

Brannon Charles Duncan, M.D.

  • Emergency Medicine Physician
  • Kalamazoo, MI
National Provider Identifier
1013114693
Registry record updated Dec 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35089639 Issued in OH
Practice address
1850 Whites Rd
Suite 3
Kalamazoo, MI 49008-4801
Phone
(269) 343-3900
Fax
(269) 343-5640
NPI assigned
Jun 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35089639 OH Primary

Addresses

Primary practice location

1850 Whites Rd
Suite 3
Kalamazoo, MI 49008-4801

Mailing address

1850 Whites Rd
Suite 3
Kalamazoo, MI 49008-4801
Phone (269) 343-3900

Other identifiers 2

IdentifierTypeStateIssuer
1013114693MedicaidMI
0C910950OtherMIBCBSM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110907000999 TX Practitioner - Emergency Medicine 3072607852 Reassigns benefits to 2 organizations
I20220823003830 TN Practitioner - Emergency Medicine 3072607852 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Critical Care Specialists PA CurrentSince Mar 1, 2020 Accepting new patients
Travis County Emergency Physicians PA Emergency Medicine CurrentSince Jul 1, 2011 Accepting new patients
Austin Critical Care Specialists PA Current Accepting new patients
Emergency Medicine Services of TN, PC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Chronic Covid Care PLLC Current Accepting new patients
Bronson Practice Management Family Medicine Past Accepting new patients
Memorial Hospital Past Accepting new patients

Locations

391 Wallace Rd
Nashville, TN 37211
Phone (615) 332-6253

2300 Patterson St
Nashville, TN 37203
Phone (615) 342-1500

1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058

1500 Red River St
Austin, TX 78701
Phone (512) 324-0150

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

11113 Research Blvd
Austin, TX 78759
Phone (512) 324-1125

630 W State Highway 71
Bastrop, TX 78602
Phone (737) 881-7400

2101 Pease St
Harlingen, TX 78550
Phone (956) 369-1100

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

850 W Central Texas Expy
Killeen, TX 76548
Phone (254) 690-0900

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

130 Hays St
Luling, TX 78648
Phone (830) 875-7000

11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020

201 Seton Pkwy
Round Rock, TX 78665
Phone (512) 324-1010

1201 Hill Rd
Smithville, TX 78957
Phone (512) 237-5716

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260316800000",
    "number": "1013114693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 WHITES RD",
            "address_2": "SUITE 3",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490084801",
            "telephone_number": "269-343-3900",
            "fax_number": "269-343-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 WHITES RD",
            "address_2": "SUITE 3",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490084801",
            "telephone_number": "269-343-3900",
            "fax_number": "269-343-5640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "BRANNON",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-28",
        "last_updated": "2009-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35089639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013114693",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0C910950",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.