Active NPI
Branson Clinic, LLC
- Rural Health Clinic/Center
- Branson, MO
National Provider Identifier
1326576174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- BRANSON CLINIC, LLC
- Practice address
- 110 Business Park Dr Ste C
Branson, MO 65616-7449 - Phone
- (417) 239-0125
- Fax
- (417) 239-0127
- NPI assigned
- May 24, 2017
- Last updated
- Jul 21, 2022
- Organization subpart
- Yes
- Parent organization
- BRANSON CLINIC, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Darren Allison
- Title
- Ceo, President
- Phone
- (417) 239-0125
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Primary |
Addresses
Primary practice location
110 Business Park Dr Ste C
Branson, MO 65616-7449
Mailing address
110 Business Park Dr Ste C
Branson, MO 65616-7449
Phone (417) 239-0125
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 507300903 | Medicaid | MO |
National Provider Directory
National Provider Directory- Part of
- Branson Clinic LLC
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Family Medicine Physician
- Branson, MO
- NPI 1740255090
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Branson, MO
- NPI 1497748487
-
- Family Medicine Physician
- Fairfax, MO
- NPI 1578557872
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1326576174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 BUSINESS PARK DR STE C",
"city": "BRANSON",
"state": "MO",
"postal_code": "656167449",
"telephone_number": "417-239-0125",
"fax_number": "417-239-0127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 BUSINESS PARK DR STE C",
"city": "BRANSON",
"state": "MO",
"postal_code": "656167449",
"telephone_number": "417-239-0125",
"fax_number": "417-239-0127"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRANSON CLINIC, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BRANSON CLINIC, LLC",
"enumeration_date": "2017-05-24",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "ALLISON",
"authorized_official_first_name": "DARREN",
"authorized_official_title_or_position": "CEO, PRESIDENT",
"authorized_official_telephone_number": "417-239-0125"
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "507300903",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Branson, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.