Anthony J Branz, MD
Individual provider Active NPI Family Medicine Physician · Osburn, ID
NPI 1700977170 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1700977170
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- M-6860 (ID)
- Practice address
- 801 E Mullan Avenue
Osburn, ID 83849-0707 - Phone
- (208) 556-4803
- Fax
- (208) 556-1023
- NPI assigned
- Sep 28, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 8
Medicare Care Compare profile
- 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
- Loving Care and More
- Hospice of North Idaho
- Shoshone Medical Center
- Kootenai Health
- Northwest Specialty Hospital
- Silverton Health and Rehabilitation of Cascadia
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 54 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091130000359 | ID | Practitioner - Family Practice | 3678612900 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-6860 | ID | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anthony J Branz MD PC | Family Medicine | Current |
Accepting new patients |
| Silver Valley Medicine Inc | Family Medicine | Past |
Accepting new patients |
Locations
25 Jacobs Gulch Rd
Kellogg, ID 83837
Phone (208) 784-1221
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | M-6860 | ID | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000010001698 | Other | ID | REGENCE BLUE SHIELD OF ID |
| 39180 | Other | ID | BLUE CROSS OF IDAHO |
Other providers in Osburn, ID
- Anthony J Branz MD PC
- Lucinda Charlotte Bishop Dimaggio
- Dorchuck Medical Inc
- Mark Aldor Ellingson
- Cindy L. Freer
- Brianna D Kautzman
All providers in Osburn, ID · Family Medicine Physician in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.