Kevin Branson, MA, CACP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

96 Wisteria Rd
Goose Creek, SC 29445-3495

Phone

(843) 897-7871

Fax

(843) 797-8638

NPI assigned

Oct 4, 2016

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476230400000",
    "number": "1780134668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 WISTERIA RD",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294453495",
            "telephone_number": "843-897-7871",
            "fax_number": "843-797-8638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 WISTERIA RD",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294453495",
            "telephone_number": "843-897-7871",
            "fax_number": "843-797-8638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANSON",
        "first_name": "KEVIN",
        "name_prefix": "Mr.",
        "credential": "MA, CACP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-04",
        "last_updated": "2016-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "571048948",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Bonk, PTA
• Julee L Boring, RN
• Corynne Boyer, D.O.
• Tanya Bradfield, LMSW
• Brandy Brandfass, RN, CPM
• Steve Johnson Brasington, M.D.
• Taylor Brawner
• Abbey Caroline Bray
• Brent R. Humphrey DMD, P.a.
• Natalie Brockman

• Addiction (Substance Use Disorder) Counselor in Goose Creek, SC
• Providers in Goose Creek, SC by specialty
• Addiction (Substance Use Disorder) Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; 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.