Elise I Brantley, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

28488 Issued in OK

Practice address

3030 NW 149TH St
Oklahoma City, OK 73134-1849

Phone

(405) 562-6222

Fax

(405) 562-6522

NPI assigned

May 25, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

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

Dermatology

Education

University of Oklahoma College of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Brantley Medical PLLC

  • Dermatology Physician
  • Oklahoma City, OK
  • NPI 1679149413
  Medicare reassignment NPD Authorized official
• Susannah L Collier MD PLLC

  • MOHS-Micrographic Surgery Physician
  • Oklahoma City, OK
  • NPI 1831349281
  NPD
• University Dermatology Consultants, Inc

  • Dermatology Physician
  • Cincinnati, OH
  • NPI 1881648236
  NPD (past)

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1215148507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 NW 149TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731341849",
            "telephone_number": "405-562-6222",
            "fax_number": "405-562-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 NW 149TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731341849",
            "telephone_number": "405-562-6222",
            "fax_number": "405-562-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANTLEY",
        "first_name": "ELISE",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-25",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OK",
            "license": "28488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd Brannon, H.I.S.
• Mark Aaron Branscum
• Cheyenne Branson
• Tara Lynn Branstetter, M.S.
• Brantley Medical PLLC
• Scott Brantley
• Steven Brantley, MD
• Rachel Branton, APRN-CNP
• Wanda Faye Branton, LADC/MH
• Kayla Brasel

• Dermatology Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Dermatology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.