Joseph M Branconi, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

ME84489 Issued in FL

Practice address

2101 61St St W
Bradenton, FL 34209-5528

Phone

(941) 761-4448

Fax

(941) 761-4428

NPI assigned

Sep 29, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378252800000",
    "number": "1710974340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 21ST AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342097847",
            "telephone_number": "941-761-4448",
            "fax_number": "941-761-4428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 61ST ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342095528",
            "telephone_number": "941-761-4448",
            "fax_number": "941-761-4428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANCONI",
        "first_name": "JOSEPH",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2013-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME84489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10731549",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265358300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Brader, A.P., D.O.M.
• Kevin Lyle Bradley, LMT
• Andrew Brady, BS
• Jetta Jean Brady, DO
• Karen Olson Brainard, MD
• Brett Joseph Brandon, PHYSICIAN ASSISTANT
• Alison L Brandt, PA-C
• Gladys Branic, MD
• Thomas Newby Braxtan III, M.D.
• Bray Park Inpatient Services, LLC

• Cardiovascular Disease Physician in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.