Active NPI
Christian O Debranin, MD
- Hematology & Oncology Physician
- La Crosse, WI
National Provider Identifier
1417036005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 45184
- Practice address
- 800 West Ave S
La Crosse, WI 54601-8806 - Phone
- (608) 392-9510
- Fax
- (608) 392-9860
- NPI assigned
- Nov 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 45184 | WI | Primary |
| Hematology & Oncology Physician | 207RH0003X | 27870 | KY |
Addresses
Primary practice location
800 West Ave S
La Crosse, WI 54601-8806
Mailing address
700 West Ave S
Physician Services Dept
La Crosse, WI 54601-4783
Phone (608) 392-4156
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34311000 | Medicaid | WI | |
| 000000220347 | Other | KY | ANTHEM BCBS |
| 6427870800 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27870 | KY | MD | Hematology & Oncology Physician |
| 45184 | WI | MD | Hematology & Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222387200000",
"number": "1417036005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 WEST AVE S",
"address_2": "PHYSICIAN SERVICES DEPT",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546014783",
"telephone_number": "608-392-4156",
"fax_number": "608-392-9898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 WEST AVE S",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546018806",
"telephone_number": "608-392-9510",
"fax_number": "608-392-9860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEBRANIN",
"first_name": "CHRISTIAN",
"middle_name": "O",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-03",
"last_updated": "2008-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "WI",
"license": "45184",
"primary": true
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "KY",
"license": "27870",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34311000",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000220347",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6427870800",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in La Crosse, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.