Organization Active NPI

Elevate Branson

  • Clinic/Center
  • Branson, MO
National Provider Identifier
1023779543
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ELEVATE BRANSON
Practice address
1440 State Highway 248 Ste Q-442
Branson, MO 65616-9655
Phone
(417) 294-1300
NPI assigned
Jan 6, 2022
Last updated
Jan 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2022

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

Authorized official

Name
Bryan Stallings
Title
Ceo
Phone
(417) 294-1300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

1440 State Highway 248 Ste Q-442
Branson, MO 65616-9655

Mailing address

1440 State Highway 248 Ste Q-442
Branson, MO 65616-9655
Phone (417) 294-1300

National Provider Directory

National Provider Directory

Locations

1440 State Highway 248
Ste Q442
Branson, MO 65616
Phone (417) 294-1300

NPI Registry JSON

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

{
    "created_epoch": "1641427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641427200000",
    "number": "1023779543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 STATE HIGHWAY 248 STE Q-442",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656169655",
            "telephone_number": "417-294-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 STATE HIGHWAY 248 STE Q-442",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656169655",
            "telephone_number": "417-294-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE BRANSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-06",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A",
        "authorized_official_last_name": "STALLINGS",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "417-294-1300"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branson, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.