Individual provider Active NPI

Rolando Manuel Branly, MBBS, SC.D.

  • General Practice Physician
  • Davie, FL
National Provider Identifier
1669930558
Registry record updated Apr 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
35874 Issued in OK
Practice address
4201 SW 67TH Ter
Davie, FL 33314-3227
Phone
(954) 604-9705
NPI assigned
Mar 9, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Histology Specialist/Technologist 246QH0600X HSE27982 FL
General Practice Physician 208D00000X 35874 OK Primary

Addresses

Primary practice location

4201 SW 67TH Ter
Davie, FL 33314-3227

Mailing address

4201 SW 67TH Ter
Davie, FL 33314-3227

Other identifiers 1

IdentifierTypeStateIssuer
27982OtherFLREGISTRATION NUMBER

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rbranly@broward.edu Direct
Direct Messaging Address rbranly@broward.edu Direct

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

LicenseStateTypeSpecialty
35874OKMDGeneral Practice Physician
HSE27982FLMDHistology Specialist/Technologist

NPI Registry JSON

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

{
    "created_epoch": "1552089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1669930558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 SW 67TH TER",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333143227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 SW 67TH TER",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333143227",
            "telephone_number": "954-604-9705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANLY",
        "first_name": "ROLANDO",
        "middle_name": "MANUEL",
        "name_prefix": "Dr.",
        "credential": "MBBS, SC.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-09",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246QH0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Histology",
            "state": "FL",
            "license": "HSE27982",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OK",
            "license": "35874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTRATION NUMBER",
            "identifier": "27982",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rbranly@broward.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4201 SW 67th Ter",
            "city": "Davie",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333143227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rbranly@broward.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4201 SW 67th Ter",
            "city": "Davie",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333143227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.