Gregg Dean Branham, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101009832 Issued in MI

Practice address

2385 Ulster Rd
Rochester Hills, MI 48309-2040

Phone

(248) 375-2551

Fax

(586) 949-0206

NPI assigned

Feb 12, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114069838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2385 ULSTER",
            "city": "ROCHESTER HILLS,",
            "state": "MI",
            "postal_code": "48309",
            "telephone_number": "248-375-2551",
            "fax_number": "586-949-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2385 ULSTER RD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483092040",
            "telephone_number": "248-375-2551",
            "fax_number": "586-949-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANHAM",
        "first_name": "GREGG",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101009832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley Ahlgren MD PC
• Christina N Bradley, FNP-C
• Brady T. Vibert, MD, PC
• Tony Joseph Brady, PA
• Kambiz Bral, MD
• Leo Brayman, MD
• Breathe LLC
• Christine Breckels
• Elizabeth Anne Breen, NP
• Stephen Eric Breuning, PH.D.

• Family Medicine Physician in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.