Organization Active NPI

Doctors Branton & Jarrah, PA

  • Internal Medicine Physician
  • Salisbury, MD
National Provider Identifier
1255438776
Registry record updated Jul 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0050614 Issued in MD
Legal business name
DOCTORS BRANTON & JARRAH, PA
Practice address
1205 Pemberton Dr
Suite 101
Salisbury, MD 21801
Phone
(410) 546-5141
Fax
(410) 548-7574
NPI assigned
Sep 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2008

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

Authorized official

Name
Lorraine Jarrah Branton, MD
Title
Vice President
Phone
(410) 546-5141

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X D0050614 MD Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X H0050743 MD

Addresses

Primary practice location

1205 Pemberton Dr
Suite 101
Salisbury, MD 21801

Mailing address

1205 Pemberton Dr
Suite 101
Salisbury, MD 21801
Phone (410) 546-5141

Other identifiers 3

IdentifierTypeStateIssuer
S327OtherMDBLUE CHOICE
LR35OtherMDCARE FIRST
690941800MedicaidMD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050826000394 MD Part B Supplier - Clinic/Group Practice 3173554300 Receives reassigned benefits from 2 practitioners
Practice locations: Salisbury, MD

National Provider Directory

National Provider Directory

Locations

1205 Pemberton Dr
Ste 101
Salisbury, MD 21801
Phone (410) 546-5141

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1255438776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 PEMBERTON DR",
            "address_2": "SUITE 101",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "21801",
            "telephone_number": "410-546-5141",
            "fax_number": "410-548-7574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 PEMBERTON DR",
            "address_2": "SUITE 101",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "21801",
            "telephone_number": "410-546-5141",
            "fax_number": "410-548-7574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS BRANTON & JARRAH, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-19",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "BRANTON",
        "authorized_official_first_name": "LORRAINE",
        "authorized_official_middle_name": "JARRAH",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "410-546-5141",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0050614",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "H0050743",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "S327",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE FIRST",
            "identifier": "LR35",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "690941800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; 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.