Organization Active NPI

Branson Pulmonology and Sleep LLC

  • Clinic/Center
  • Branson, MO
National Provider Identifier
1194806265
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
116317 Issued in MO
Legal business name
BRANSON PULMONOLOGY AND SLEEP LLC
Practice address
875 E State Highway 76
Suite a
Branson, MO 65616
Phone
(417) 334-5864
Fax
(417) 334-4978
NPI assigned
Oct 17, 2006
Last updated
Oct 24, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2018

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

Authorized official

Name
Dr. Habib G MunshiNPI 1033290101
Title
President
Phone
(417) 334-5864

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 116317 MO Primary

Addresses

Primary practice location

875 E State Highway 76
Suite a
Branson, MO 65616

Mailing address

PO Box 219
Branson, MO 65615
Phone (417) 334-5864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070329000121 MO Part B Supplier - Clinic/Group Practice 7315041472 Receives reassigned benefits from 2 practitioners
Practice locations: Branson, MO

National Provider Directory

National Provider Directory

Locations

875 E State Highway 76
Branson, MO 65616
Phone (417) 334-5864

875 E State Highway 76
Ste A
Branson, MO 65616
Phone (417) 334-5864

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540339200000",
    "number": "1194806265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 219",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "65615",
            "telephone_number": "417-334-5864",
            "fax_number": "417-334-4978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 E STATE HIGHWAY 76",
            "address_2": "SUITE A",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "65616",
            "telephone_number": "417-334-5864",
            "fax_number": "417-334-4978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANSON PULMONOLOGY AND SLEEP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2018-10-24",
        "status": "A",
        "authorized_official_last_name": "MUNSHI",
        "authorized_official_first_name": "HABIB",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "417-334-5864",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MO",
            "license": "116317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branson, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.