Gregory H Branham, MD
Individual provider Active NPI Plastic Surgery within the Head & Neck (Otolaryngology) Physician · Creve Coeur, MO
NPI 1477571198 · NPPES record last updated Jun 19, 2026
Key facts
- NPI
- 1477571198
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X
- License
- R4G73 (MO)
- Practice address
- 1044 N Mason Rd
Dept Otolaryngology, Ste L10
Creve Coeur, MO 63141-6431 - Phone
- (314) 996-3880
- Fax
- (314) 996-8610
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Otolaryngology
- Education
- University of South Carolina School of Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Washington University
Practice addresses (Care Compare)
660 S Euclid Ave
Saint Louis, MO 63110-1010
660 S Euclid Ave Box
8115 Dept of Otolaryngology
Saint Louis, MO 63110-1010
Phone (314) 362-7509
660 S Euclid Ave Campus Box
Saint Louis, MO 63110-1010
660 S Euclid Campus Box
8115 Dept of Otolaryngology
St Louis, MO 63110-1010
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.2 of 100
- Quality
- 71.6
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.75
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050627000102 | MO | Practitioner - Otolaryngology |
8921043381 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington University | Current |
Accepting new patients | |
| Washington University | Current |
Accepting new patients | |
| Washington University | Past | Accepting new patients |
Locations
1044 N Mason Rd
Ste L10
Creve Coeur, MO 63141
Phone (314) 996-3800
1 Barnes Hospital Plz
Saint Louis, MO 63110
Phone (314) 362-9170
660 S Euclid Ave
#8115
Saint Louis, MO 63110
Phone (314) 362-7395
660 S Euclid Ave
#C
Saint Louis, MO 63110
1020 N Mason Rd
Ste 205
Saint Louis, MO 63141
Phone (314) 996-3430
Interoperability endpoints
- gbranham154952@direct.carenet.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | R4G73 | MO | Yes |
Addresses
Primary practice location
1044 N Mason Rd
Dept Otolaryngology, Ste L10
Creve Coeur, MO 63141-6431
Mailing address
17065 Fire Glow Dr
Wildwood, MO 63011-5543
Phone (314) 494-7168
Other practice location 1
2105 E South Blvd
Montgomery, AL 36116-2409
Phone (334) 747-2585
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202593620 | Medicaid | MO |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Washington University |
Other providers in Creve Coeur, MO
- Ramona Georgeta Bosma
- Brian Douglass Bourbon
- Tonya K Bourn
- Loren Nicole Boushey
- Nancy Claire Bradley
- Kent D Branson
- Ernest L Brawner
- Breathe Easy Counseling LLC
- Molly Jane Brendle-Ayala
- Aaron Michael Brewer
All providers in Creve Coeur, MO · Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.