Individual provider Active NPI

Kent Bransford, M.D.

  • Hematology & Oncology Physician
  • Monterey, CA
National Provider Identifier
1285680959
Registry record updated Jan 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
G45162 Issued in CA
Practice address
5 Harris CT BLDG T
2ND Floor # 201
Monterey, CA 93940-5750
Phone
(831) 375-4105
Fax
(831) 372-5722
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X G45162 CA Primary

Addresses

Primary practice location

5 Harris CT BLDG T
2ND Floor # 201
Monterey, CA 93940-5750

Mailing address

5 Harris CT BLDG T
2ND Floor # 201
Monterey, CA 93940-5750
Phone (831) 375-4105

Other identifiers 4

IdentifierTypeStateIssuer
00G451620MedicaidCA
00G451620OtherBCBS
GR0080140OtherMEDICAID GRUOP #
ZZZ13460ZOtherMEDICARE GROUP#

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G45162CAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Monterey Bay Oncology a Medical Corporation Hematology & Oncology PastSince Jun 14, 1996 Accepting new patients
Monterey Bay Oncology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kent.bransford.1@14789.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389744000000",
    "number": "1285680959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 HARRIS CT BLDG T",
            "address_2": "2ND FLOOR # 201",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405750",
            "telephone_number": "831-375-4105",
            "fax_number": "831-372-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 HARRIS CT BLDG T",
            "address_2": "2ND FLOOR # 201",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405750",
            "telephone_number": "831-375-4105",
            "fax_number": "831-372-5722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANSFORD",
        "first_name": "KENT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2014-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "G45162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G451620",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00G451620",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GRUOP #",
            "identifier": "GR0080140",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP#",
            "identifier": "ZZZ13460Z",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; 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.