Gary L Branch, DO

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

5101013772 Issued in MI

Practice address

819 N Shiawassee St Ste 210
Owosso, MI 48867-1601

Phone

(989) 541-2663

Fax

(989) 723-3601

NPI assigned

May 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Physical Medicine and Rehabilitation

Education

Michigan State University College of Osteopathic Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Memorial HospitalGroup PAC ID 8527976497, 210 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Healthcare Hospital, Owosso, MI, CCN 230121

Merit-based Incentive Payment System (MIPS)

Final score

82.58 of 100Reported as group

Quality

58.15

Promoting interoperability

100

Improvement activities

40

Cost

74.45

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: garybranch@memh.allscriptsdirect.net
• Direct secure messaging: g.branch@memorialhealthcare.midirect.net

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.

• Memorial Hospital

  • General Practice Physician
  • Owosso, MI
  • NPI 1235160532
  Medicare reassignment Care Compare group NPD
• Memorial Hospital

  • Anesthesiology Physician
  • Owosso, MI
  • NPI 1659527737
  NPD
• Memorial Hospital

  • General Practice Physician
  • Owosso, MI
  • NPI 1316008006

  Physical Medicine & Rehabilitation

  NPD (past)
• Memorial Hospital

  • Home Health Agency
  • Owosso, MI
  • NPI 1952498610
  NPD (past)
• Mid-Michigan Orthopaedics

  • Orthopaedic Surgery Physician
  • Owosso, MI
  • NPI 1447218177

  Physical Medicine & Rehabilitation

  NPD (past)

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

• Memorial Hospital

  • General Acute Care Hospital
  • Owosso, MI
  • NPI 1063414233
  Care Compare affiliation

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1205894557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 N SHIAWASSEE ST STE 210",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488671601",
            "telephone_number": "989-541-2663",
            "fax_number": "989-723-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 N SHIAWASSEE ST STE 210",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488671601",
            "telephone_number": "989-541-2663",
            "fax_number": "989-723-3601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 E Sturgis St Ste 9",
            "address_purpose": "LOCATION",
            "city": "Saint Johns",
            "state": "MI",
            "postal_code": "488792068",
            "country_code": "US",
            "telephone_number": "989-227-1371",
            "fax_number": "989-224-3824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRANCH",
        "first_name": "GARY",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2022-06-08",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "5101013772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205894557",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassondra Boulis
• Jonathon Boulis
• Alison Marie Bowers, NURSE PRACTITIONER
• Scott E Boyd, PA-C
• Theresa Faith Braden-Horstman, MSW
• Rebecca Leigh Brant, SLP
• Erin Brawner, LLMSW
• Kristen Breaks, M.A., BCBA, LBA
• Lisa Brimmer
• Jennifer Brooks

• Physical Medicine & Rehabilitation Physician in Owosso, MI
• Providers in Owosso, MI by specialty
• Physical Medicine & Rehabilitation Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.

Verify at the official NPI Registry.