Individual provider Active NPI

Daniel George Branam, M.D.

  • Diagnostic Radiology Physician
  • Fort Wayne, IN
National Provider Identifier
1699970566
Registry record updated Jun 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
01059886A Issued in IN
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

Updated by the provider on Jun 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1699970566MedicaidMI
200911720MedicaidIN
2884320MedicaidOH

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.

View all 28

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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 Hospital 153 clinicians
Greene County General Hospital 102 clinicians
Ella E M Brown Charitable Circle 172 clinicians
X-Ray Physicians of Shelbyville PC 43 clinicians
Pacific Imaging Associates LLC 69 clinicians
Summit Radiology P C 101 clinicians
American Oncology Partners PA 377 clinicians

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 Hospital, Fort Wayne, IN, CCN 150017
  • The Orthopaedic Hospital of Lutheran Health Networ Hospital, Ft Wayne, IN, CCN 150168
  • Marion General Hospital Hospital, Marion, IN, CCN 150011
  • Adams Memorial Hospital Hospital, Decatur, IN, CCN 151330
  • Greene County General Hospital Hospital, Linton, IN, CCN 151317

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Ella E M Brown Charitable Circle Current Accepting new patients
Direct Imaging LLC CurrentSince Jun 16, 2017 Accepting new patients
Major Hospital Current Accepting new patients
Henry County Memorial Hospital CurrentSince Mar 18, 2017 Accepting new patients
Ella E M Brown Charitable Circle Diagnostic Radiology CurrentSince Oct 27, 2024 Accepting new patients
Greene County General Hospital Current Accepting new patients
American Oncology Partners PA Diagnostic Radiology CurrentSince Jan 2, 2025 Accepting new patients
Henry County Memorial Hospital Current Accepting new patients
Greene County General Hospital Diagnostic Radiology CurrentSince Jul 31, 2025 Accepting new patients
Pacific Imaging Associates LLC Diagnostic Radiology CurrentSince Mar 24, 2025 Accepting new patients
Henry County Memorial Hospital CurrentSince Mar 18, 2017 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

  • Direct secure messaging: 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

Verify at the official NPI Registry.