Matthew Joseph Branson

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SLP11721 Issued in AZ

Practice address

6815 W Cactus Rd
Peoria, AZ 85381-5313

Phone

(623) 937-5090

NPI assigned

Aug 22, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Austin Centers for Exceptional Students

  dba The ACES

  • Local Education Agency (LEA)
  • Peoria, AZ
  • NPI 1407492416
  NPD

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1790332864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18330 N 79TH AVE APT 1063",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088347",
            "telephone_number": "419-343-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6815 W CACTUS RD",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815313",
            "telephone_number": "623-937-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANSON",
        "first_name": "MATTHEW",
        "middle_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-22",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLP11721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bailee R Bradley
• Stephanie Marilyn Brainard
• Rebecca M Branaman, M.D.
• Lauren Brandenberg
• Misty Brannon, PHARMD
• Ryan Edward Brase, LPC
• Caridad Bravo-Fernandez, MD
• Brea Peoria, LLC (Brookdale Union Hills)
• Breastnet Screening LLC
• Brenda Moorthy DO PLLC (Comprehensive Breast Surgery)

• Speech-Language Assistant in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Speech-Language Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; 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.