William Reid Brannan

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P017678 Issued in NC

Practice address

901 Battleground Ave Ste B
Greensboro, NC 27408-2107

Phone

(336) 337-5469

NPI assigned

Jun 28, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Triad Adult and Pediatric Medicine, Inc.

  dba Family Medicine at Northwood

  • Federally Qualified Health Center (FQHC)
  • Greensboro, NC
  • NPI 1447980883
  Medicare reassignment NPD
• Guilford Counseling, PLLC

  • Clinical Social Worker
  • Greensboro, NC
  • NPI 1114298668
  NPD

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1669104733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 BATTLEGROUND AVE STE B",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274082107",
            "telephone_number": "336-337-5469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 BATTLEGROUND AVE STE B",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274082107",
            "telephone_number": "336-337-5469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANNAN",
        "first_name": "WILLIAM",
        "middle_name": "REID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-28",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P017678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSWA",
            "identifier": "P017678",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Branch Therapeutic Solutions PLLC
• Henry Allen Brandon Jr.
• Jada Kalisha Brandon
• Leslie Brandon, RN
• Dominic Brandveen, RBT
• Mark M Brassfield, M.D.
• Dorothy Braswell
• Jenna F Braswell
• Jazmine Simone Bratcher, LCSWA
• Teresa Sue Bratton, M.D.

• Clinical Social Worker in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.