Active NPI
Sean Branch, D.O.
- Dermatology Physician
- Gulf Breeze, FL
National Provider Identifier
1124333232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- OS11486
- Practice address
- 30 Daniel Cir
Gulf Breeze, FL 32561-4571 - Phone
- (850) 735-3376
- Fax
- (559) 201-1269
- NPI assigned
- Aug 12, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | OT014922 | PA | |
| Dermatology Physician | 207N00000X | OS11486 | FL | Primary |
Addresses
Primary practice location
30 Daniel Cir
Gulf Breeze, FL 32561-4571
Mailing address
30 Daniel Cir
Gulf Breeze, FL 32561-4571
Phone (850) 735-3376
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 150CD | Other | FL | BLUE CROSS BLUE SHIELD OF FLORIDA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
30 Daniel Cir
Gulf Breeze, FL 32561-4571
Phone (850) 735-3376
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1043 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 380 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT014922 | PA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proper Dermatology PLLC | Dermatology | Current | Accepting new patients |
Locations
30 Daniel Cir
Gulf Breeze, FL 32561
Phone (850) 735-3376
85 Bay Bridge Dr
Gulf Breeze, FL 32561
Phone (850) 735-3376
Interoperability endpoints
- https://app.meldrx.com/api/fhir/ez_00240
Organizations & group practices 1
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.
-
- Dermatology Physician
- Gulf Breeze, FL
- NPI 1528623923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747872000000",
"number": "1124333232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 DANIEL CIR",
"city": "GULF BREEZE",
"state": "FL",
"postal_code": "325614571",
"telephone_number": "850-735-3376",
"fax_number": "559-201-1269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 DANIEL CIR",
"city": "GULF BREEZE",
"state": "FL",
"postal_code": "325614571",
"telephone_number": "850-735-3376",
"fax_number": "559-201-1269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANCH",
"first_name": "SEAN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-12",
"last_updated": "2025-05-22",
"certification_date": "2025-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "PA",
"license": "OT014922",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "FL",
"license": "OS11486",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF FLORIDA",
"identifier": "150CD",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gulf Breeze, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.