Dean H Branson, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A-1596-11 Issued in NM

Practice address

2055 S Pacheco St
Santa Fe, NM 87505-3997

Phone

(505) 473-0390

Fax

(505) 473-0375

NPI assigned

Oct 11, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, 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 and National Provider Directory roles.

• Valley-Wide Health Systems, Inc.

  • Federally Qualified Health Center (FQHC)
  • Alamosa, CO
  • NPI 1205652047
  NPD (past)

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412553600000",
    "number": "1477541712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 S PACHECO ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875053997",
            "telephone_number": "505-473-0390",
            "fax_number": "505-473-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 S PACHECO ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875053997",
            "telephone_number": "505-473-0390",
            "fax_number": "505-473-0375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANSON",
        "first_name": "DEAN",
        "middle_name": "H",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2014-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "4479",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "A-1596-11",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132121",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brain Injury Services of New Mexico, LLC
• Brain-Body-Spirit- LLC
• Rebekah Jo Brandon, LMHC
• Lydia Grace Brandt
• Nancy Brandt, MA LISW
• Roosevelt G Brasseur, M.D
• Peter G Bratti
• Abby Leverett Braun, LISW, PHD
• Juli Beth Bray-Morris, LPCC
• Mariann Bregin, NP

• All providers in Santa Fe, NM
• Family Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; 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.