Jeanie M Branconi, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME 70858 Issued in FL

Practice address

6533 Santiago CT
Apollo Beach, FL 33572-2111

Phone

(813) 843-0428

NPI assigned

May 8, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• American Family & Geriatric Care PA

  • Geriatric Medicine (Internal Medicine) Physician
  • St Petersburg, FL
  • NPI 1013035146

  Single Specialty

  NPD (past)
• West Suburban Medical Center

  dba West Suburban Health Care Physicians SVCS

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1649499096
  NPD (past)

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1346299302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6533 SANTIAGO CT",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335722111",
            "telephone_number": "813-843-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6533 SANTIAGO CT",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335722111",
            "telephone_number": "813-843-0428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANCONI",
        "first_name": "JEANIE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-08",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME70858",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 70858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Biondoletti, PSY.D.
• Christopher A Blazejowski, M.D.
• Yanissa Bonilla
• Susan Lynn Bottiglieri, MS, RD, CSR
• Joe McKinley Braden, PA-C
• Shakeyra Brown
• Brownstone Manor Inc.
• Bethany Ann Buchholz, RMHCI
• Chelsea Burdette
• Nancy Jean Burns, PHD, LAT, ATC

• Family Medicine Physician in Apollo Beach, FL
• Providers in Apollo Beach, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; 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.

Verify at the official NPI Registry.