Brannata Wellness LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

BRANNATA WELLNESS LLC

Practice address

600 S Dobson Rd Ste D31-D35
Chandler, AZ 85224-5678

Phone

(541) 816-1049

NPI assigned

Mar 7, 2024

Organization subpart

No

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

Authorized official

Name

Manny Cruz

Title

Owner

Phone

(541) 760-4775

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ez_00332

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Iftikhar Ahmed, M.D.

  • Dermatopathology (Pathology) Physician
  • Phoenix, AZ
  • NPI 1851376305
  Medicare reassignment NPD

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

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754956800000",
    "number": "1033977830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 SW 2ND ST STE 201",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973334466",
            "telephone_number": "541-816-1049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S DOBSON RD STE D31-D35",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245678",
            "telephone_number": "541-816-1049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANNATA WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-07",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "MANNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-760-4775"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brain Mind Body Mental Health PLLC
• Branching Out Family Services
• Kenneth Dane Brand, LSAT
• Brandi L Molina DMD MPH PLLC
• Molly K. Brann
• Sabrina Lynn Brannon
• Jimmie Lou Brannum, RN
• Joanita Austrid Brantl, L.M.T.
• Jessica Israelsen Brantley, PA-C
• Amber Dawn Brasfield, NP

• Dermatology Physician in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Dermatology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.