Denis F Branson MD Professional Corporation

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

162343 Issued in NY

Legal business name

DENIS F BRANSON MD PROFESSIONAL CORPORATION

Practice address

7000 E Genesee St
Building E
Fayetteville, NY 13066-1131

Phone

(315) 446-8313

Fax

(315) 446-5387

NPI assigned

Jan 6, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Denis F Branson, MD

Title

President

Phone

(315) 446-8313

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1294272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294272000000",
    "number": "1801190731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 E GENESEE ST",
            "address_2": "BUILDING E",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130661131",
            "telephone_number": "315-446-8313",
            "fax_number": "315-446-5387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 E GENESEE ST",
            "address_2": "BUILDING E",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130661131",
            "telephone_number": "315-446-8313",
            "fax_number": "315-446-5387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENIS F BRANSON MD PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-06",
        "last_updated": "2011-01-06",
        "status": "A",
        "authorized_official_last_name": "BRANSON",
        "authorized_official_first_name": "DENIS",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-446-8313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "162343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA MEDICARE PR",
            "identifier": "070001967",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIFIED",
            "identifier": "50469B",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "1612881118",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David a. Thorpe
• Rebecca Dayton, PH.D.
• Marisa Bassett De la Garza, MSW, LCSW
• Maryanne Delaney, RN
• Erika Delisle, PA-C
• Denise C. Wolken, MD PLLC
• Deanna Marie Derrenbacker, PT
• Prashant Prakash Deshmane, MD
• William J Dibble, DO
• Grace Digiovanni

• Plastic Surgery Physician in Fayetteville, NY
• Providers in Fayetteville, NY by specialty
• Plastic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; 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.