Individual provider Active NPI

Perry Branson, M.D

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1174548663
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
139204-1 Issued in NY
Practice address
201 E 21St St Apt 1a
New York, NY 10010-6402
Phone
(212) 529-3204
NPI assigned
Jul 13, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 139204-1 NY Primary

Addresses

Primary practice location

201 E 21St St Apt 1a
New York, NY 10010-6402

Mailing address

201 E 21St St Apt 1a
New York, NY 10010-6402
Phone (212) 529-3204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20110202000382 NY Practitioner - Psychiatry 3678753001 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
New York University School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Putnam Family and Community Services IncGroup PAC ID 3072402429, 12 clinicians

Practice addresses (Care Compare)

1808 Route 6
Carmel, NY 10512-2356
Phone 84522527000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
139204-1NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Putnam Family and Community Services Inc CurrentSince Jun 16, 2014 Accepting new patients
Putnam Family and Community Services Inc PastSince Jun 16, 2014 Accepting new patients

Locations

1808 Route 6
Carmel, NY 10512
Phone (845) 225-2700

Organizations & group practices 2

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174548663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E 21ST ST APT 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100106402",
            "telephone_number": "212-529-3204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E 21ST ST APT 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100106402",
            "telephone_number": "212-529-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANSON",
        "first_name": "PERRY",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "139204-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.