Active NPI
Rebecca M Branaman, M.D.
- Obstetrics & Gynecology Physician
- Peoria, AZ
National Provider Identifier
1144289232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 29224
- Practice address
- 15396 N 83Rd Ave
Suite F-100
Peoria, AZ 85381-5622 - Phone
- (602) 595-9696
- Fax
- (623) 412-9123
- NPI assigned
- Mar 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 29224 | AZ | Primary |
Addresses
Primary practice location
15396 N 83Rd Ave
Suite F-100
Peoria, AZ 85381-5622
Mailing address
PO Box 10967
Glendale, AZ 85318-0967
Phone (602) 595-9696
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 578635 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- 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
- Obstetrics/Gynecology
- Education
- University of Kansas School of Med (KC/Wich/Sal), 1997
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
15396 N 83Rd Ave
Suite F100
Peoria, AZ 85381-5629
Phone (602) 595-9696
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29224 | AZ | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Women'S Center LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Banner Thunderbird Medical Center | Past | Accepting new patients | |
| Glendale Obstetrics and Gynecology PC | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
15396 N 83rd Ave
Ste F100
Peoria, AZ 85381
Phone (602) 595-9696
Interoperability endpoints
- rebecca.branaman@az028.digichart.direct-ci.com
Organizations & group practices 4
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.
-
- Obstetrics & Gynecology Physician
- Peoria, AZ
- NPI 1881084838
-
- Obstetrics & Gynecology Physician
- Surprise, AZ
- NPI 1568632933
-
- General Acute Care Hospital
- Glendale, AZ
- NPI 1154355188
-
- Obstetrics & Gynecology Physician
- Glendale, AZ
- NPI 1205996667
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489708800000",
"number": "1144289232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10967",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853180967",
"telephone_number": "602-595-9696",
"fax_number": "623-412-9123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15396 N 83RD AVE",
"address_2": "SUITE F-100",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853815622",
"telephone_number": "602-595-9696",
"fax_number": "623-412-9123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANAMAN",
"first_name": "REBECCA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-20",
"last_updated": "2017-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "AZ",
"license": "29224",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "578635",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; 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.