Active NPI
Daniel George Branam, M.D.
- Diagnostic Radiology Physician
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 01059886A
- Practice address
- 5001 US Highway 30 W Ste D
Fort Wayne, IN 46818-9701 - Phone
- (260) 432-1568
- Fax
- (260) 432-4969
- NPI assigned
- Jun 19, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 01059886A | IN | Primary |
Addresses
Primary practice location
5001 US Highway 30 W Ste D
Fort Wayne, IN 46818-9701
Mailing address
PO Box 80070
Fort Wayne, IN 46898-0070
Phone (260) 432-1568
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699970566 | Medicaid | MI | |
| 200911720 | Medicaid | IN | |
| 2884320 | Medicaid | OH |
Organizations & group practices 28
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.
-
- Hematology & Oncology Physician
- Columbus, OH
- NPI 1265929723
Diagnostic Radiology, IN
-
- Diagnostic Radiology Physician
- Marshall, MI
- NPI 1043660467
Diagnostic Radiology, IN
-
- Diagnostic Radiology Physician
- Portland, OR
- NPI 1265137574
Diagnostic Radiology, IN
-
- Diagnostic Radiology Physician
- Shelbyville, IN
- NPI 1144351347
IN, MI
-
- Rural Health Clinic/Center
- Newberry, IN
- NPI 1053808683
-
- Skilled Nursing Facility
- Linton, IN
- NPI 1205852712
-
- Skilled Nursing Facility
- Jasonville, IN
- NPI 1609866383
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1174706576
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Indiana University School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Henry County Memorial HospitalGreene County General HospitalElla E M Brown Charitable CircleX-Ray Physicians of Shelbyville PCPacific Imaging Associates LLCSummit Radiology P CAmerican Oncology Partners PA
Practice addresses (Care Compare)
1000 N 16TH St
New Castle, IN 47362-4319
Phone (765) 521-0890
1185 N 1000
Linton, IN 47441-5282
Phone 81284722812054
14405 Indian Creek Rd
Fort Wayne, IN 46814-9512
Phone (269) 781-4271
200 N Madison St
Marshall, MI 49068-1143
Phone (269) 781-4271
2209 Turnberry LN
Fort Wayne, IN 46814-9354
Phone (269) 781-4271
2451 Intelliplex Dr
Shelbyville, IN 46176-8580
5001 US Hwy 30 W D
Fort Wayne, IN 46818-9701
Phone (260) 432-1568
7910 W Jefferson Blvd
Suite 108
Fort Wayne, IN 46804-4159
Phone (260) 436-0800
916 Myrtle St
Sturgis, MI 49091-2326
Phone (269) 659-4482
Hospital & facility affiliations
- Lutheran Hospital of Indiana
- The Orthopaedic Hospital of Lutheran Health Networ
- Marion General Hospital
- Adams Memorial Hospital
- Greene County General Hospital
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080925000179 | IN | Practitioner - Diagnostic Radiology | 6507933082 | Reassigns benefits to 7 organizations |
| I20090324000328 | MI | Practitioner - Diagnostic Radiology | 6507933082 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ella E M Brown Charitable Circle | Current | Accepting new patients | |
| Direct Imaging LLC | Current | Accepting new patients | |
| Major Hospital | Current | Accepting new patients | |
| Henry County Memorial Hospital | Current | Accepting new patients | |
| Ella E M Brown Charitable Circle | Diagnostic Radiology | Current | Accepting new patients |
| Greene County General Hospital | Current | Accepting new patients | |
| American Oncology Partners PA | Diagnostic Radiology | Current | Accepting new patients |
| Henry County Memorial Hospital | Current | Accepting new patients | |
| Greene County General Hospital | Diagnostic Radiology | Current | Accepting new patients |
| Pacific Imaging Associates LLC | Diagnostic Radiology | Current | Accepting new patients |
| Henry County Memorial Hospital | Current | Accepting new patients | |
| Indiana University Radiology Associates, Inc. | Diagnostic Radiology | Past | Accepting new patients |
| Indiana Radiology Partners, Inc | Diagnostic Radiology | Past | Accepting new patients |
Locations
26 Six Pine Ranch Rd
Batesville, IN 47006
Phone (812) 934-5252
11725 Illinois St
Ste 355
Carmel, IN 46032
Phone (317) 814-4533
225 Crosslake Dr
Evansville, IN 47715
Phone (812) 471-6677
7910 W Jefferson Blvd
Ste 108
Fort Wayne, IN 46804
Phone (219) 484-8830
7221 Engle Rd
Ste 220
Fort Wayne, IN 46804
Phone (503) 413-7127
7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088
5001 US Highway 30 W
Ste D
Fort Wayne, IN 46818
Phone (260) 469-8273
720 N Lincoln St
Greensburg, IN 47240
Phone (812) 522-2349
8550 Naab Rd
Ste 205
Indianapolis, IN 46260
Phone (317) 338-6040
1701 Senate Blvd
#C6
Indianapolis, IN 46202
Phone (317) 962-9000
1185 N 1000 W
Linton, IN 47441
Phone (812) 847-2281
1000 N 16th St
New Castle, IN 47362
Phone (765) 521-0890
2200 Forest Ridge Pkwy
New Castle, IN 47362
Phone (765) 521-7385
2451 Intelliplex Dr
Shelbyville, IN 46176
Phone (317) 392-3211
200 N Madison St
Marshall, MI 49068
Phone (269) 789-3921
Interoperability endpoints
- dbranam@yourcarecommunity.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466121600000",
"number": "1699970566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 80070",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468980070",
"telephone_number": "260-432-1568",
"fax_number": "260-432-4969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5001 US HIGHWAY 30 W STE D",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468189701",
"telephone_number": "260-432-1568",
"fax_number": "260-432-4969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANAM",
"first_name": "DANIEL",
"middle_name": "GEORGE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-19",
"last_updated": "2016-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IN",
"license": "01059886A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1699970566",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200911720",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2884320",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.