Individual provider Active NPI

Karen Page Branam, M.D.

  • Anesthesiology Physician
  • Ridgeland, MS
National Provider Identifier
1104037167
Registry record updated Jun 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
21915 Issued in MS
Practice address
160 Green Glades
Ridgeland, MS 39157-8662
Phone
(305) 815-1133
NPI assigned
May 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 21915 MS Primary
Anesthesiology Physician 207L00000X MD.203567 LA

Addresses

Primary practice location

160 Green Glades
Ridgeland, MS 39157-8662

Mailing address

160 Green Glades
Ridgeland, MS 39157-8662
Phone (305) 815-1133

Other identifiers 3

IdentifierTypeStateIssuer
P01245539OtherMSRR MEDICARE
09200MedicaidLA
138266MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120618000397 MS Practitioner - Anesthesiology 5395872170 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mississippi State Hospital at WhitfieldGroup PAC ID 5294727533, 34 clinicians

Practice addresses (Care Compare)

3550 Hwy 468 W
B60
Whitfield, MS 39193-0157
Phone (601) 351-8000

Hospital & facility affiliations

  • Whitfield Medical Surgical Hospital Hospital, Whitfield, MS, CCN 250134

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Anesthesia Group, P.a. Anesthesiology CurrentSince Aug 1, 2024 Accepting new patients
Physicians Anesthesia Group Staffing, LLC Anesthesiology CurrentSince Jun 13, 2024 Accepting new patients
Mississippi State Hospital at Whitfield Current Accepting new patients
Northstar Anesthesia of Mississippi, LLC Anesthesiology CurrentSince Aug 31, 2015 Accepting new patients
Ahp of Northwestern Louisiana LLC Anesthesiology Past Accepting new patients
QHG of Hattiesburg Inc Past Accepting new patients

Locations

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

501 Marshall St
Ste 301
Jackson, MS 39202

1190 N State St
Ste 102
Jackson, MS 39202
Phone (601) 968-1790

971 Lakeland Dr
Jackson, MS 39216
Phone (601) 939-5922

2100 Highway 61 N
Vicksburg, MS 39183
Phone (601) 883-5001

3550 Highway 468 W
#B60
Whitfield, MS 39193

3550 Highway 468 W
Whitfield, MS 39193

Organizations & group practices 6

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.

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": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433116800000",
    "number": "1104037167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 GREEN GLADES",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391578662",
            "telephone_number": "305-815-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 GREEN GLADES",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391578662",
            "telephone_number": "305-815-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANAM",
        "first_name": "KAREN",
        "middle_name": "PAGE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2015-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MS",
            "license": "21915",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "LA",
            "license": "MD.203567",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01245539",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09200",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138266",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, MS

Sources for this page

Verify at the official NPI Registry.