Charles Branham

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

1195 Forest Bluff TRL
Round Rock, TX 78665-3913

Phone

(512) 964-1747

Fax

(800) 960-6713

NPI assigned

Nov 9, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1257724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257724800000",
    "number": "1407183619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1195 FOREST BLUFF TRAIL",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "78665",
            "telephone_number": "512-964-1747",
            "fax_number": "800-960-6713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1195 FOREST BLUFF TRL",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786653913",
            "telephone_number": "512-964-1747",
            "fax_number": "800-960-6713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANHAM",
        "first_name": "CHARLES",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-09",
        "last_updated": "2009-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Lee Nelson Bradshaw, M.A, CCC-SLP
• Megan Carroll Brady, PA-C
• Brain Treatment Center North Austin, PLLC
• Meredith Lynn Brand, MA, SLP
• Hailey Brandell
• Jessica Braxton, PTA
• Rick Breland, MA, LPC
• Shannon Breslin
• Brett Strong
• Brett W Hamilton OD

• Community Health Worker in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Community Health Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; 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.