Individual provider Active NPI

Myrtho M Branch, MD

  • Child & Adolescent Psychiatry Physician
  • Orlando, FL
National Provider Identifier
1386675205
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
ME73432 Issued in FL
Practice address
2500 Discovery Dr
Orlando, FL 32826-3709
Phone
(407) 275-2203
Fax
(407) 282-7012
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X ME73432 FL Primary

Addresses

Primary practice location

2500 Discovery Dr
Orlando, FL 32826-3709

Mailing address

2500 Discovery Dr
Orlando, FL 32826-3709
Phone (407) 275-2203

Other identifiers 1

IdentifierTypeStateIssuer
46298OtherBCBS

Other names 1

  • Myrtho Mompoint-Branch Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220930000956 FL Practitioner - Psychiatry 7214313162 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Myrtho Mompoint-Branch MD PAGroup PAC ID 6406232354, 5 clinicians

Practice addresses (Care Compare)

1806 Town Plaza CT
Winter Springs, FL 32708-6206
Phone (407) 542-4946

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME73432FLMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Myrtho Mompoint-Branch MD PA CurrentSince Sep 1, 2022 Accepting new patients

Locations

2500 Discovery Dr
Orlando, FL 32826
Phone (407) 275-2203

1806 Town Plaza Ct
Winter Springs, FL 32708
Phone (407) 542-4946

Organizations & group practices 1

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386675205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 DISCOVERY DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328263709",
            "telephone_number": "407-275-2203",
            "fax_number": "407-282-7012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 DISCOVERY DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328263709",
            "telephone_number": "407-275-2203",
            "fax_number": "407-282-7012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANCH",
        "first_name": "MYRTHO",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME73432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "46298",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MYRTHO",
            "last_name": "MOMPOINT-BRANCH",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.