Active NPI
Ashley Branch
- General Practice Physician
- Alton, VA
National Provider Identifier
1295056372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 0116022453
- Practice address
- 3020 Henderson Rd
Alton, VA 24520-3544 - Phone
- (804) 276-9305
- NPI assigned
- Jun 12, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 0116022453 | VA | Primary |
Addresses
Primary practice location
3020 Henderson Rd
Alton, VA 24520-3544
Mailing address
3020 Henderson Rd
Alton, VA 24520-3544
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120830000666 | VA | Order and Referring Only - Family Practice | 4385891019 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0116022453 | VA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372118400000",
"number": "1295056372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3020 HENDERSON RD",
"city": "ALTON",
"state": "VA",
"postal_code": "245203544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3020 HENDERSON RD",
"city": "ALTON",
"state": "VA",
"postal_code": "245203544",
"telephone_number": "804-276-9305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANCH",
"first_name": "ASHLEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-12",
"last_updated": "2013-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "VA",
"license": "0116022453",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.