Roderick Eli Branscome, LPCS, LCAS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

7077 Issued in NC

Practice address

1801 E Fifth St Ste 212
Charlotte, NC 28204-3400

Phone

(704) 661-1429

NPI assigned

Sep 14, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417478400000",
    "number": "1730375577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 S TRYON ST",
            "address_2": "SUITE 1060",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282810001",
            "telephone_number": "704-496-9757",
            "fax_number": "704-496-9757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 E FIFTH ST STE 212",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043400",
            "telephone_number": "704-661-1429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANSCOME",
        "first_name": "RODERICK",
        "middle_name": "ELI",
        "credential": "LPCS, LCAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-14",
        "last_updated": "2014-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "7077",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "5079",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "2592",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oscar Sven Brann, M.D.
• Christopher Malcolm Branner, MD
• Wlliam Arthur Branner III, M.D.
• Sydney Slattery Brannock, NP
• Ronald H Brannon, M.D.
• Makenzie Vincent Branscum, LCSWA
• Stephanie Robertson Branscum, LCSWA
• Thomas Alan Brant, M.D.
• Courtney Webber Brantley, MD
• David Brantley III, PSY.D.

• Professional Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; 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.