Individual provider Active NPI

Jessica Lee Branham, D.O.

  • Obstetrics & Gynecology Physician
  • Prestonsburg, KY
National Provider Identifier
1144537812
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
03516 Issued in KY
Practice address
104 S Front Ave
Prestonsburg, KY 41653-1614
Phone
(606) 886-8572
NPI assigned
Sep 1, 2010
Last updated
Jan 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 03516 KY
Obstetrics & Gynecology Physician 207V00000X OT012753 PA
Obstetrics & Gynecology Physician 207V00000X 03516 KY Primary

Addresses

Primary practice location

104 S Front Ave
Prestonsburg, KY 41653-1614

Mailing address

104 S Front Ave
Prestonsburg, KY 41653-1614
Phone (606) 886-8572

Other practice location 1

5000 Ky Route 321
Suite 2127B
Prestonsburg, KY 41653-9113
Phone (606) 889-3660

Other practice location 2

1709 Ky Route 321 Ste 3
Prestonsburg, KY 41653-9097
Phone (606) 886-8546

Other practice location 3

911 Bypass Rd Bldg A
Pikeville, KY 41501-1602
Phone (606) 430-2207

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jbranham54008@pikevillekydirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20121119000387 KY Practitioner - Obstetrics/Gynecology 3577714633 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

104 S Front Ave
Prestonsburg, KY 41653-1614
Phone (606) 886-4346

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
03516KYMDAdult Medicine Physician
OT012753PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pikeville Medical Center Inc. CurrentSince Dec 1, 2024 Accepting new patients
Mountain Comprehensive Care Center, Inc. CurrentSince Oct 1, 2022 Accepting new patients
Mountain Comprehensive Care Center, Inc. CurrentSince Oct 1, 2022 Accepting new patients
Mountain Comprehensive Care Center, Inc. Current Accepting new patients
Pikeville Medical Center Inc CurrentSince Dec 1, 2024 Accepting new patients
Arh Tug Valley Health Services, Inc. Past Accepting new patients
Pikeville Medical Center Inc Past Accepting new patients

Locations

2222 Winchester Ave
Ashland, KY 41101
Phone (606) 325-8261

210 S Walnut St
Cynthiana, KY 41031
Phone (859) 298-2011

129 Fraley Miller Plz
Grayson, KY 41143

300 W Main St
Grayson, KY 41143
Phone (606) 474-0042

428 E Main St
Inez, KY 41224
Phone (606) 298-2660

29 Cabin Frk
Jenkins, KY 41537

130 Town Hill Rd
Louisa, KY 41230

263 Ky Route 122
Martin, KY 41649
Phone (606) 949-1555

1110 S Mayo Trl
Paintsville, KY 41240
Phone (606) 788-1345

838 S Mayo Trl
Paintsville, KY 41240
Phone (606) 788-1345

838 S Mayo Trl
Ste A
Paintsville, KY 41240

118 River Dr
Pikeville, KY 41501
Phone (606) 432-3143

1330 S Mayo Trl
Ste 201
Pikeville, KY 41501
Phone (606) 432-0123

184 S Mayo Trl
Pikeville, KY 41501
Phone (606) 430-2213

911 Bypass Rd
Bldg A
Pikeville, KY 41501
Phone (606) 430-2201

104 S Front Ave
Prestonsburg, KY 41653
Phone (606) 688-6857

118 S Front Ave
Prestonsburg, KY 41653

5000 Ky Route 321
Prestonsburg, KY 41653
Phone (606) 886-7645

5000 Ky Route 321
Ste 2127
Prestonsburg, KY 41653
Phone (606) 889-6160

5000 Ky Route 321
Ste 2127B
Prestonsburg, KY 41653
Phone (606) 889-3660

26229 US Highway 119 N
Toler, KY 41514
Phone (606) 237-0020

Interoperability endpoints

  • Direct secure messaging: jessica.branham.d1.p1@direct.mtcomp.nextgenshare.com

Organizations & group practices 7

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1144537812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 S FRONT AVE",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416531614",
            "telephone_number": "606-886-8572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S FRONT AVE",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416531614",
            "telephone_number": "606-886-8572"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5000 Ky Route 321",
            "address_2": "Suite 2127B",
            "address_purpose": "LOCATION",
            "city": "Prestonsburg",
            "state": "KY",
            "postal_code": "416539113",
            "country_code": "US",
            "telephone_number": "606-889-3660",
            "fax_number": "606-263-5641",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1709 Ky Route 321 Ste 3",
            "address_purpose": "LOCATION",
            "city": "Prestonsburg",
            "state": "KY",
            "postal_code": "416539097",
            "country_code": "US",
            "telephone_number": "606-886-8546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "911 Bypass Rd Bldg A",
            "address_purpose": "LOCATION",
            "city": "Pikeville",
            "state": "KY",
            "postal_code": "415011602",
            "country_code": "US",
            "telephone_number": "606-430-2207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRANHAM",
        "first_name": "JESSICA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-01",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "KY",
            "license": "03516",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "OT012753",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "03516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbranham54008@pikevillekydirect.org",
            "affiliation": "N",
            "endpointDescription": "Direct address for ccda",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Standard direct functionality",
            "address_1": "911 Bypass Rd Bldg A",
            "city": "Pikeville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "415011602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Prestonsburg, KY

Sources for this page

Verify at the official NPI Registry.