Jesse M Brannan, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DE30687475 Issued in WA

Practice address

1660 South Columbian Way
Dept of Veterans Affairs Puget Sound Health System
Seattle, WA 98108

Phone

(206) 762-1010

NPI assigned

Jul 8, 2013

Last updated

Oct 1, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380585600000",
    "number": "1679914691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 SOUTH COLUMBIAN WAY",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98108",
            "telephone_number": "206-227-2933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 SOUTH COLUMBIAN WAY",
            "address_2": "DEPT OF VETERANS AFFAIRS PUGET SOUND HEALTH SYSTEM",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98108",
            "telephone_number": "206-762-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANNAN",
        "first_name": "JESSE",
        "middle_name": "M",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-08",
        "last_updated": "2013-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60387475",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE30687475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Beth Brandt, PSY.D.
• Rina Brandt, DO
• Hannah Lynne Branham
• Jennifer Laura Branham, ARNP
• D'Yetta Wxan Brank
• Clay J Brannen, LMP
• George Elsdon Brannen
• Isaac Brannon
• Audrey Wicks Branom, PA-C
• Richard Jackson Bransford

• Dentist in Seattle, WA
• Providers in Seattle, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2013; 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.