Individual provider Active NPI

Paul Brancheau, DPM

  • Podiatrist
  • Greenville, TX
National Provider Identifier
1013373885
Registry record updated Jun 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
2332 Issued in TX
Practice address
3900 Joe Ramsey Blvd E BLDG 5
Greenville, TX 75401
Phone
(903) 455-2383
Fax
(903) 455-9419
NPI assigned
Jan 11, 2016
Last updated
Jun 11, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 2332 TX Primary

Addresses

Primary practice location

3900 Joe Ramsey Blvd E BLDG 5
Greenville, TX 75401

Mailing address

3900 Joe Ramsey Blvd E BLDG 5
Greenville, TX 75401-7727
Phone (903) 455-2383

Other practice location 1

810 E Ralph Hall Pkwy Ste 130
Rockwall, TX 75032-6879

Other practice location 2

119 Medical Cir
Sulphur Springs, TX 75482-2138
Phone (903) 885-2754

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180702001935 TX Practitioner - Podiatry 1850647009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Texas Family Foot Care Center PAGroup PAC ID 7214056290, 3 clinicians

Practice addresses (Care Compare)

3900 Joe Ramsey Blvd E
BLDG 5
Greenville, TX 75401-7727
Phone (903) 455-2383

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.5 of 100Reported as group
Quality
95
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue30
Removal of skin lesions12
Removal of nail tissue98
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Podiatry Center of North Texas, LLC CurrentSince Jul 1, 2018 Accepting new patients
North Texas Family Foot Care Center PA Podiatrist CurrentSince Jul 1, 2018 Accepting new patients
Foot Specialists of Tri-County PA Podiatrist PastSince Sep 1, 2005 Accepting new patients

Locations

3900 Joe Ramsey Blvd E
Greenville, TX 75401
Phone (903) 454-1722

3900 Joe Ramsey Blvd E
Bldg 5
Greenville, TX 75401
Phone (903) 455-2383

810 E Ralph Hall Pkwy
Ste 130
Rockwall, TX 75032
Phone (469) 402-3460

119 Medical Cir
Sulphur Springs, TX 75482
Phone (903) 885-2754

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/IDEBDA/Endpoint/IDEBDA

Organizations & group practices 3

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1452470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528675200000",
    "number": "1013373885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 JOE RAMSEY BLVD E BLDG 5",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754017727",
            "telephone_number": "903-455-2383",
            "fax_number": "903-455-9419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 JOE RAMSEY BLVD E BLDG 5",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "75401",
            "telephone_number": "903-455-2383",
            "fax_number": "903-455-9419"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "810 E Ralph Hall Pkwy Ste 130",
            "address_purpose": "LOCATION",
            "city": "Rockwall",
            "state": "TX",
            "postal_code": "750326879",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "119 Medical Cir",
            "address_purpose": "LOCATION",
            "city": "Sulphur Springs",
            "state": "TX",
            "postal_code": "754822138",
            "country_code": "US",
            "telephone_number": "903-885-2754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRANCHEAU",
        "first_name": "PAUL",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-11",
        "last_updated": "2018-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "2332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, TX

Sources for this page

Verify at the official NPI Registry.