Active NPI
Devin J. Branstetter, MD
- Anesthesiology Physician
- Tacoma, WA
National Provider Identifier
1265612071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 60085548
- Practice address
- 9040 Jackson Ave
Tacoma, WA 98431-4402 - Phone
- (253) 968-2240
- NPI assigned
- Nov 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD60085548 | WA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Anesthesiology Physician | 207L00000X | 60085548 | WA | Primary |
Addresses
Primary practice location
9040 Jackson Ave
Tacoma, WA 98431-4402
Mailing address
9040 Jackson Ave
Tacoma, WA 98431-1326
Phone (253) 968-2235
Other practice location 1
9040 Fitzsimmons Dr
Joint Base Lewis McChord, WA 98431-4402
Phone (253) 968-2235
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | devin.j.branstetter.civ@mail.mil |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60085548 | WA | MD | Anesthesiology Physician |
| MD60085548 | WA | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557273600000",
"number": "1265612071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9040 JACKSON AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984311326",
"telephone_number": "253-968-2235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9040 JACKSON AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984314402",
"telephone_number": "253-968-2240"
}
],
"practiceLocations": [
{
"address_1": "9040 Fitzsimmons Dr",
"address_purpose": "LOCATION",
"city": "Joint Base Lewis McChord",
"state": "WA",
"postal_code": "984314402",
"country_code": "US",
"telephone_number": "253-968-2235",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRANSTETTER",
"first_name": "DEVIN",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-08",
"last_updated": "2019-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WA",
"license": "MD60085548",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WA",
"license": "60085548",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "devin.j.branstetter.civ@mail.mil",
"affiliation": "N",
"address_1": "9040 Jackson Ave",
"city": "Tacoma",
"state": "WA",
"country_code": "US",
"postal_code": "984314402",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.