Paul Brancheau, DPM
Individual provider Active NPI Podiatrist · Greenville, TX
NPI 1013373885 · NPPES record last updated Jun 11, 2018
Key facts
- NPI
- 1013373885
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Podiatrist 213E00000X
- License
- 2332 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Texas Family Foot Care Center PA
Practice addresses (Care Compare)
3900 Joe Ramsey Blvd E
BLDG 5
Greenville, TX 75401-7727
Phone (903) 455-2383
Hospital & facility affiliations
- Hunt Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.5 of 100
- Quality
- 95
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 30 |
| Removal of skin lesions | 12 |
| Removal of nail tissue | 98 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180702001935 | TX | Practitioner - Podiatry | 1850647009 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2332 | TX | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Podiatry Center of North Texas, LLC | Current |
Accepting new patients | |
| North Texas Family Foot Care Center PA | Podiatrist | Current |
Accepting new patients |
| Foot Specialists of Tri-County PA | Podiatrist | Past |
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) 455-2373
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
- https://fhir.meditouchehr.com/api/fhir/r4/
- https://fhir4.healow.com/fhir/r4/IDEBDA/Endpoint/IDEBDA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 2332 | TX | Yes |
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
Other providers in Greenville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.