Active NPI
Timothy Branch
- Prosthetist
- Fort Worth, TX
National Provider Identifier
1538754098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- 234241
- Practice address
- 207 S Main St
Fort Worth, TX 76104-1224 - Phone
- (682) 385-9611
- NPI assigned
- Mar 6, 2021
- Last updated
- Mar 6, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetist | 224P00000X | 234241 | TX | Primary |
Addresses
Primary practice location
207 S Main St
Fort Worth, TX 76104-1224
Mailing address
1513 Terbet LN
Fort Worth, TX 76112-3314
Phone (817) 495-4461
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 234241 | TX | MD | Prosthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614988800000",
"number": "1538754098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1513 TERBET LN",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761123314",
"telephone_number": "817-495-4461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 S MAIN ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761041224",
"telephone_number": "682-385-9611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANCH",
"first_name": "TIMOTHY",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-06",
"last_updated": "2021-03-06",
"certification_date": "2021-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "TX",
"license": "234241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.