NPIMap

Individual provider Active NPI

Anthony J Branz, MD

  • Family Medicine Physician
  • Osburn, ID
National Provider Identifier
1700977170
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M-6860 Issued in ID
Practice address
801 E Mullan Avenue
Osburn, ID 83849-0707
Phone
(208) 556-4803
Fax
(208) 556-1023
NPI assigned
Sep 28, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M-6860 ID Primary

Addresses

Primary practice location

801 E Mullan Avenue
Osburn, ID 83849-0707

Mailing address

PO Box 707
Osburn, ID 83849-0707
Phone (208) 556-4803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091130000359 ID Practitioner - Family Practice 3678612900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Washington School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

801 E Mullan Ave
Osburn, ID 83849-0707
Phone (208) 556-4803

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions54
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M-6860IDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anthony J Branz MD PC Family Medicine CurrentSince Nov 1, 2000 Accepting new patients
Silver Valley Medicine Inc Family Medicine PastSince Dec 1, 2008 Accepting new patients

Locations

25 Jacobs Gulch Rd
Kellogg, ID 83837
Phone (208) 784-1221

Organizations & group practices 2

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1700977170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 707",
            "city": "OSBURN",
            "state": "ID",
            "postal_code": "838490707",
            "telephone_number": "208-556-4803",
            "fax_number": "208-556-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E MULLAN AVENUE",
            "city": "OSBURN",
            "state": "ID",
            "postal_code": "838490707",
            "telephone_number": "208-556-4803",
            "fax_number": "208-556-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANZ",
        "first_name": "ANTHONY",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M-6860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Osburn, ID

Sources for this page

Verify at the official NPI Registry.