Individual provider Active NPI

Sean Branch, D.O.

  • Dermatology Physician
  • Gulf Breeze, FL
National Provider Identifier
1124333232
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
OS11486 Issued in FL
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

Updated by the provider on May 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
150CDOtherFLBLUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150701001317 FL Practitioner - Dermatology 5698912137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proper Dermatology PLLCGroup PAC ID 8325470727, 5 clinicians

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 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1043
Removal or shaving of skin growth1-10
Skin biopsy380

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OT014922PAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Proper Dermatology PLLC Dermatology CurrentSince Feb 11, 2019 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.