Organization Active NPI

Anthony J Branz MD PC

Doing business as Osburn Family Medicine

  • Family Medicine Physician
  • Osburn, ID
National Provider Identifier
1821142530
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M-6860 Issued in ID
Legal business name
ANTHONY J BRANZ MD PC
Doing business as
Osburn Family Medicine
Practice address
801 E Mullan Avenue
Osburn, ID 83849-0707
Phone
(208) 556-4803
Fax
(208) 556-1023
NPI assigned
Jan 22, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Anthony John Branz, MDNPI 1700977170
Title
Owner
Phone
(208) 556-4803

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M-6860 ID Primary

Addresses

Primary practice location

801 E Mullan Avenue
Osburn, ID 83849-0707

Mailing address

PO Box 707
801 E Mullan Ave
Osburn, ID 83849-0707
Phone (208) 556-4803

Other names 1

  • Osburn Family Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091130000364 ID Part B Supplier - Clinic/Group Practice 0941349278 Receives reassigned benefits from 1 practitioner
Practice locations: Kellogg, ID; Osburn, ID; Silverton, ID

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
13D0966535Osburn Family Medicine801 E Mullan Ave, Osburn, ID 83849Provider-performed microscopyOct 18, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821142530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 707",
            "address_2": "801 E MULLAN AVE",
            "city": "OSBURN",
            "state": "ID",
            "postal_code": "838490707",
            "telephone_number": "208-556-4803",
            "fax_number": "208-556-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E MULLAN AVENUE",
            "city": "OSBURN",
            "state": "ID",
            "postal_code": "838490707",
            "telephone_number": "208-556-4803",
            "fax_number": "208-556-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY J BRANZ MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRANZ",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-556-4803",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M-6860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Osburn Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Osburn, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.