Branchout Clinics PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BRANCHOUT CLINICS PLLC

Practice address

5620 S Waterbury Way Ste A200
Salt Lake City, UT 84121-1180

Phone

(801) 455-8822

NPI assigned

Feb 8, 2023

Organization subpart

No

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

Authorized official

Name

Jeremiah Golesh

Title

Billing Manager

Phone

(801) 455-2687

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1675814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675814400000",
    "number": "1245937432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5620 S WATERBURY WAY STE A200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841211180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 S WATERBURY WAY STE A200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841211180",
            "telephone_number": "801-455-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANCHOUT CLINICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-08",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A",
        "authorized_official_last_name": "GOLESH",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "801-455-2687"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael James Braman, MD
• Rogelio Brambila Jr.
• Jean C Bramble, APRN
• Melinda L Bramlage, OT
• Joann Marie Brammer, RN
• John Marion Brand, O.D.
• Maurya Brand
• Richard William Brand
• Jacob Brandenburg, M.D.
• James Michael Brandi, LCSW

• Clinic/Center in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.