Individual provider Active NPI

Emily Fraser Branche, M.D.

  • Pediatrics Physician
  • Batavia, NY
National Provider Identifier
1306892344
Registry record updated Nov 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
238232 Issued in NY
Practice address
314 Ellicott St Ste 2
Batavia, NY 14020
Phone
(585) 483-3081
Fax
(585) 483-3084
NPI assigned
May 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 238232 NY Primary

Addresses

Primary practice location

314 Ellicott St Ste 2
Batavia, NY 14020

Mailing address

314 Ellicott St Ste 2
Batavia, NY 14020-3650
Phone (585) 483-3081

Other practice location 1

8604 Main St Ste 4
Williamsville, NY 14221-7463
Phone (716) 428-3507

Other identifiers 9

IdentifierTypeStateIssuer
02734430MedicaidNY
2615324OtherUNITED HEALTH CARE
P010238232OtherBLUE CHOICE
186127OtherPREFERRED CARE
7243840OtherAETNA
P020238232OtherEXCELLUS BC BS
1213219OtherINDEPENDENT HEALTH
000528512002OtherCOMMUNITY BLUE
00027621501OtherUNIVERA

Other names 1

  • Dr. Emily Fraser Tenney Former name

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
238232NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fraser - Branche Medical, PLLC Past Accepting new patients
University at Buffalo Pediatric Associates Inc Pediatrics PastSince Jan 1, 1998 Accepting new patients

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": "1542153600000",
    "number": "1306892344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 ELLICOTT ST STE 2",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140203650",
            "telephone_number": "585-483-3081",
            "fax_number": "585-483-3084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 ELLICOTT ST STE 2",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "14020",
            "telephone_number": "585-483-3081",
            "fax_number": "585-483-3084"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8604 Main St Ste 4",
            "address_purpose": "LOCATION",
            "city": "Williamsville",
            "state": "NY",
            "postal_code": "142217463",
            "country_code": "US",
            "telephone_number": "716-428-3507",
            "fax_number": "716-428-3510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRASER BRANCHE",
        "first_name": "EMILY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "238232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02734430",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2615324",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "P010238232",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "186127",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7243840",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS BC BS",
            "identifier": "P020238232",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "1213219",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY BLUE",
            "identifier": "000528512002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00027621501",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "TENNEY",
            "middle_name": "FRASER",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Batavia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; 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.