Individual provider Active NPI

Gregory J Branche, PA

  • Medical Physician Assistant
  • Rochester, NY
National Provider Identifier
1598731135
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MB0511217 Issued in NY
Practice address
1815 Clinton Ave S Ste 530
Rochester, NY 14618-5721
Phone
(585) 442-4310
Fax
(585) 442-6750
NPI assigned
Feb 24, 2006
Last updated
Jan 18, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 006425-1 NY
Medical Physician Assistant 363AM0700X MB0511217 NY Primary

Addresses

Primary practice location

1815 Clinton Ave S Ste 530
Rochester, NY 14618-5721

Mailing address

1815 Clinton Ave S Ste 530
Rochester, NY 14618-5721
Phone (585) 442-4310

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Gregory.Branche@rochesterregional.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080304000642 NY Practitioner - Physician Assistant 5496830234 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Helendale Dermatology and Medical Spa PLLCGroup PAC ID 6901870294, 6 clinicians

Practice addresses (Care Compare)

1001 W Fayette St
Suite 400
Syracuse, NY 13204-2866

500 Helendale Rd
Suite 100
Rochester, NY 14609-3109
Phone (585) 266-5420

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
006425-1NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice P.C. CurrentSince Mar 29, 2022 Accepting new patients
Western New York Medical Practice P.C CurrentSince Mar 29, 2022 Accepting new patients
Stephen E Presser Past Accepting new patients

Locations

229 Summit St
Ste 1
Batavia, NY 14020
Phone (585) 343-4440

33 Chandler Ave
Batavia, NY 14020
Phone (585) 343-9676

33 Chandler Ave
Fl 2
Batavia, NY 14020
Phone (585) 343-9676

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

Interoperability endpoints

  • Direct secure messaging: gregory.branche@rochesterregional.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1598731135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 CLINTON AVE S STE 530",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185721",
            "telephone_number": "585-442-4310",
            "fax_number": "585-442-6750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 CLINTON AVE S STE 530",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185721",
            "telephone_number": "585-442-4310",
            "fax_number": "585-442-6750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANCHE",
        "first_name": "GREGORY",
        "middle_name": "J",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "006425-1",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "MB0511217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Gregory.Branche@rochesterregional.org",
            "affiliation": "N",
            "address_1": "1815 Clinton Ave S Ste 530",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146185721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.