Individual provider Active NPI

Vergie M Brannon, GNP,DNP

  • Gerontology Nurse Practitioner
  • Forney, TX
National Provider Identifier
1245430651
Registry record updated Jul 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
622930 Issued in TX
Practice address
230 Ridge Point Dr
Forney, TX 75126-5316
Phone
(214) 878-3687
NPI assigned
Jul 23, 2007
Last updated
Jul 23, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 622930 TX Primary

Addresses

Primary practice location

230 Ridge Point Dr
Forney, TX 75126-5316

Mailing address

230 Ridge Point Dr
Forney, TX 75126-5316
Phone (214) 878-3687

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. 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
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Association for Improving Medical Services Gerontology Past Accepting new patients
Indelible Health & Wellness LLC Past Accepting new patients
Harold Wagner DO PA Past Accepting new patients
Residential Visits Association Past Accepting new patients
Association for Improving Medical Accessibility Corporation Past Accepting new patients
Physicain Geriatric Services PA Past Accepting new patients
Consultants in Radiology PA Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185148800000",
    "number": "1245430651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 RIDGE POINT DR",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751265316",
            "telephone_number": "214-878-3687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 RIDGE POINT DR",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751265316",
            "telephone_number": "214-878-3687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANNON",
        "first_name": "VERGIE",
        "middle_name": "M",
        "credential": "GNP,DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-23",
        "last_updated": "2007-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "622930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.