Angela L Branda, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

2172 Issued in ME

Practice address

295 Forest Ave
2R
Portland, ME 04101-2018

Phone

(207) 772-5437

Fax

(207) 879-1537

NPI assigned

Sep 19, 2007

Last updated

Nov 4, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME, UT2 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

Specialty

Pediatric MedicineAlso: Osteopathic Manipulative Medicine

Education

Ohio University, College of Osteopathic Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rocky Vista Health Center LLCGroup PAC ID 1052443710, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: angela.branda.1@8078.direct.athenahealth.com

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.

• Rocky Vista Health Center LLC

  • Family Medicine Physician
  • Englewood, CO
  • NPI 1366606709

  UT

  Medicare reassignment Care Compare group
• Be Well My Friend LLC

  • Family Medicine Physician
  • Augusta, ME
  • NPI 1104250158
  Medicare reassignment NPD

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320364800000",
    "number": "1710173133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2500",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042432500",
            "telephone_number": "207-784-2554",
            "fax_number": "207-777-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 FOREST AVE",
            "address_2": "2R",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041012018",
            "telephone_number": "207-772-5437",
            "fax_number": "207-879-1537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDA",
        "first_name": "ANGELA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-19",
        "last_updated": "2011-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "ME",
            "license": "2172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas B Brady, MD
• E. Merle Bragdon, PH.D.
• Jennifer Woodbury Bragg, M.D.
• Valerie Anne Bramble, RN
• Jane F Branch, MD
• Rachel L Brander, LMSW-CC
• Carolyn Branson, LCPC
• Erica Brasley, MD
• Charlotte A Brasseux, PA-C
• Matthew Carl Braun, DO

• Pediatrics Physician in Portland, ME
• Providers in Portland, ME by specialty
• Pediatrics Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; 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.

Verify at the official NPI Registry.