Individual provider Active NPI

Horace David Brannon, MD

  • Family Medicine Physician
  • Cantonment, FL
National Provider Identifier
1508818378
Registry record updated Apr 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME53357 Issued in FL
Practice address
2400 S Highway 29
Cantonment, FL 32533-5808
Phone
(850) 476-0559
NPI assigned
May 17, 2006
Last updated
Apr 23, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME53357 FL Primary
Family Medicine Physician 207Q00000X MD 20705 AL

Addresses

Primary practice location

2400 S Highway 29
Cantonment, FL 32533-5808

Mailing address

PO Box 553
Cantonment, FL 32533-0553
Phone (850) 476-0559

Other identifiers 1

IdentifierTypeStateIssuer
061544700MedicaidFL

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
I20060530000261 FL Practitioner - Family Practice 2466448667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast Association of Healthcare Providers IncGroup PAC ID 4789772302, 3 clinicians

Practice addresses (Care Compare)

5330 N Davis Hwy
Pensacola, FL 32503-6498
Phone (850) 477-8874

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Association of Healthcare Providers Inc CurrentSince Dec 15, 2020 Accepting new patients
Roberts Chiropractic Center Inc CurrentSince Mar 24, 2017 Accepting new patients
Tri Hospital MRI Center Past Accepting new patients
Sacred Heart Health System Inc Past Accepting new patients
Sacred Heart Health System, Inc. Past Accepting new patients
Access Care Family Medicine Family Medicine PastSince Jan 1, 2016 Accepting new patients

Locations

5330 N Davis Hwy
Pensacola, FL 32503
Phone (850) 469-2319

730 N New Warrington Rd
Pensacola, FL 32506
Phone (850) 456-4788

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335139200000",
    "number": "1508818378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 553",
            "city": "CANTONMENT",
            "state": "FL",
            "postal_code": "325330553",
            "telephone_number": "850-476-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 S HIGHWAY 29",
            "city": "CANTONMENT",
            "state": "FL",
            "postal_code": "325335808",
            "telephone_number": "850-476-0559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANNON",
        "first_name": "HORACE",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2012-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME53357",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD 20705",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "061544700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cantonment, FL

Sources for this page

Verify at the official NPI Registry.