Individual provider Active NPI

Kenneth R Branton, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Danvers, MA
National Provider Identifier
1609866557
Registry record updated Feb 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
151081 Issued in MA
Practice address
480 Maple St
Suite C233A
Danvers, MA 01923-4065
Phone
(978) 304-8690
Fax
(978) 304-8697
NPI assigned
Oct 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 151081 MA
Pain Medicine (Anesthesiology) Physician 207LP2900X 151081 MA Primary

Addresses

Primary practice location

480 Maple St
Suite C233A
Danvers, MA 01923-4065

Mailing address

480 Maple St
Suite C233A
Danvers, MA 01923-4065
Phone (978) 304-8690

Other identifiers 1

IdentifierTypeStateIssuer
3157113MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20110919000681 MA Practitioner - AnesthesiologyPractitioner - Pain Management 1153489166 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Rochester School of Medicine and Dentistry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pain Management Centers of New England LLCGroup PAC ID 5597982165, 3 clinicians
Pain Modulation Associates PLLCGroup PAC ID 4183992134, 4 clinicians

Practice addresses (Care Compare)

21 Highland Ave
Suite 16
Newburyport, MA 01950-3873
Phone (978) 992-4580

480 Maple St
Danvers, MA 01923-4065
Phone (978) 304-8601

Hospital & facility affiliations

  • Northeast Hospital Corporation Hospital, Beverly, MA, CCN 220033
  • Anna Jaques Hospital Hospital, Newburyport, MA, CCN 220029
  • Lahey Hospital & Medical Center, Burlington Hospital, Burlington, MA, CCN 220171

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
151081MAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Management Centers of New England, LLC Pain Medicine CurrentSince Mar 1, 2014 Accepting new patients
Beverly Anesthesia Associates, Inc. Anesthesiology CurrentSince Apr 21, 2003 Accepting new patients

Locations

85 Herrick St
Beverly, MA 01915
Phone (978) 816-3700

480 Maple St
Ste C233A
Danvers, MA 01923
Phone (978) 304-8690

480 Maple St
Danvers, MA 01923
Phone (978) 304-8380

480 Maple St
#C233A
Danvers, MA 01923

21 Highland Ave
Newburyport, MA 01950
Phone (978) 462-7555

21 Highland Ave
Ste 16
Newburyport, MA 01950
Phone (877) 732-6960

Interoperability endpoints

  • Direct secure messaging: kbranton27802@direct.bilh.masshiway.net
  • Direct secure messaging: kenneth.branton@pmcne.eclinicaldirectplus.com

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297900800000",
    "number": "1609866557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 MAPLE ST",
            "address_2": "SUITE C233A",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019234065",
            "telephone_number": "978-304-8690",
            "fax_number": "978-304-8697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 MAPLE ST",
            "address_2": "SUITE C233A",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019234065",
            "telephone_number": "978-304-8690",
            "fax_number": "978-304-8697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANTON",
        "first_name": "KENNETH",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2011-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "151081",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MA",
            "license": "151081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3157113",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danvers, MA

Sources for this page

Verify at the official NPI Registry.