Michael R. Brancheau M.D., PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

K2854 Issued in TX

Legal business name

MICHAEL R. BRANCHEAU M.D., PLLC

Practice address

9330 Poppy Dr Ste 503
Dallas, TX 75218-4696

Phone

(214) 321-3394

Fax

(214) 321-3469

NPI assigned

Jul 29, 2015

Organization subpart

No

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

Authorized official

Name

Michael Raymond Brancheau, M.D.NPI 1134288012

Title

Owner

Phone

(214) 321-3394

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 2

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

• Michael R Brancheau, MD

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1134288012
  Medicare reassignment NPD Authorized official
• Elizabeth Phillips, FNP-C

  • Family Nurse Practitioner
  • Rockwall, TX
  • NPI 1881585701
  Medicare reassignment NPD

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484092800000",
    "number": "1326423542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9330 POPPY DR STE 503",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752184696",
            "telephone_number": "214-321-3394",
            "fax_number": "214-321-3469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 POPPY DR STE 503",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752184696",
            "telephone_number": "214-321-3394",
            "fax_number": "214-321-3469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL R. BRANCHEAU M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-29",
        "last_updated": "2017-01-11",
        "status": "A",
        "authorized_official_last_name": "BRANCHEAU",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-321-3394",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K2854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA WAIVER",
            "identifier": "45D2110775",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael E Esedebe Mdpa
• Michael Ednie MD XRH PA
• Michael J Neeley DDS Inc
• Michael L. McCullough MD PA
• Michael M Katz, MD,PA
• Michael Reed DDS
• Michael Sutker, M.D., P.a.
• Michael Taba MD PA
• Michael Vernon Doyle MD
• Alen Michael, MD

• Internal Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; 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.