Individual provider Active NPI

Allen G Branch, CRNA

  • Certified Registered Nurse Anesthetist
  • Tampa, FL
National Provider Identifier
1508880444
Registry record updated Apr 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN9271288 Issued in FL
Practice address
4519 George Rd
Ste 100
Tampa, FL 33634-7329
Phone
(813) 496-1075
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X APRN9271288 FL Primary

Addresses

Primary practice location

4519 George Rd
Ste 100
Tampa, FL 33634-7329

Mailing address

3028 Parkwood Rd
Sebring, FL 33872-2970

Other identifiers 2

IdentifierTypeStateIssuer
291413100MedicaidFL
E0949OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, IN, CO3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20110511000808 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 2466638267 Reassigns benefits to 3 organizations
I20190911000918 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 2466638267 Reassigns benefits to 2 organizations
I20200311001949 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 2466638267 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Physician Assistant

State licenses

LicenseStateTypeSpecialty
6185NCMDSpeech-Language Pathologist
APRN9271288FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Panhandle Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 19, 2020 Accepting new patients
Greater Florida Anesthesiologists, LLC CurrentSince Jul 1, 2016 Accepting new patients
Greater Florida Anesthesiologists, LLC Current Accepting new patients
Anesthesia Care Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 23, 2019 Accepting new patients
West Florida Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 15, 2022 Accepting new patients
Greater Florida Anesthesiologists, LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2016 Accepting new patients
Digestive Care of Evansville PC Past Accepting new patients

Locations

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552

13051 University Dr
Ste 102
Fort Myers, FL 33907
Phone (239) 590-6111

63 Barkley Cir
Ste 104
Fort Myers, FL 33907
Phone (239) 275-8452

1210 US Highway 27 N
Lake Placid, FL 33852
Phone (863) 465-3777

204B E 19th St
Panama City, FL 32405
Phone (850) 769-7599

4200 Sun N Lake Blvd
Sebring, FL 33872
Phone (863) 314-4406

2600 Bruce B Downs Blvd
Zephyrhills, FL 33544
Phone (954) 393-5000

801 Saint Marys Dr
Ste 205
Evansville, IN 47714
Phone (812) 477-6103

801 Saint Marys Dr
Ste 205W
Evansville, IN 47714
Phone (812) 477-6103

647 2nd St
Ste A
Jasper, IN 47546
Phone (812) 477-6103

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587686400000",
    "number": "1508880444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3028 PARKWOOD RD",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338722970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4519 GEORGE RD",
            "address_2": "STE 100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336347329",
            "telephone_number": "813-496-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANCH",
        "first_name": "ALLEN",
        "middle_name": "G",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN9271288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "291413100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "E0949",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.