Individual provider Active NPI

Christina M Branham, M.D.

  • Pediatrics Physician
  • Decatur, IL
National Provider Identifier
1124001391
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036113286 Issued in IL
Practice address
6 Fair Oaks Dr
Decatur, IL 62526-1418
Phone
(217) 691-1636
NPI assigned
Nov 22, 2005
Last updated
Jan 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036113286 IL Primary

Addresses

Primary practice location

6 Fair Oaks Dr
Decatur, IL 62526-1418

Mailing address

6 Fair Oaks Dr
Decatur, IL 62526-1418
Phone (217) 691-1636

Other practice location 1

1301 Kiwanis Dr
Freeport, IL 61032-6907
Phone (815) 233-7185

Other identifiers 1

IdentifierTypeStateIssuer
036-113286MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050603000946 IL Practitioner - Pediatric Medicine 1850334517 Reassigns benefits to 1 organization
I20231212000960 IN Practitioner - Pediatric Medicine 1850334517 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northshore Health Centers Inc Current Accepting new patients
Northshore Health Centers, Inc. CurrentSince Nov 27, 2023 Accepting new patients
Northshore Health Centers, Inc. Pediatrics CurrentSince Nov 27, 2023 Accepting new patients
The Monroe Clinic, Inc. CurrentSince Feb 16, 2026 Accepting new patients
The Monroe Clinic, Inc. CurrentSince Feb 16, 2026 Accepting new patients
The Monroe Clinic, Inc. Past Accepting new patients

Locations

1301 Kiwanis Dr
Freeport, IL 61032
Phone (815) 235-1406

6050 Sterling Creek Rd
Portage, IN 46368
Phone (219) 212-0188

Interoperability endpoints

  • Direct secure messaging: christina.branham.p1@direct.northshorehealth.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1124001391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 FAIR OAKS DR",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625261418",
            "telephone_number": "217-691-1636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 FAIR OAKS DR",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625261418",
            "telephone_number": "217-691-1636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Kiwanis Dr",
            "address_purpose": "LOCATION",
            "city": "Freeport",
            "state": "IL",
            "postal_code": "610326907",
            "country_code": "US",
            "telephone_number": "815-233-7185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRANHAM",
        "first_name": "CHRISTINA",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-22",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036113286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-113286",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

Verify at the official NPI Registry.