Kevin Branscum, DPT

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

PT 40323 Issued in CA

Practice address

9089 Clairemont Mesa Blvd Ste 200
San Diego, CA 92123-1225

Phone

(870) 373-0606

NPI assigned

Aug 29, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1409270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409270400000",
    "number": "1861892598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 682",
            "city": "CALICO ROCK",
            "state": "AR",
            "postal_code": "725190682",
            "telephone_number": "870-373-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9089 CLAIREMONT MESA BLVD STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231225",
            "telephone_number": "870-373-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANSCUM",
        "first_name": "KEVIN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-29",
        "last_updated": "2014-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CA",
            "license": "PT 40323",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT 40323",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raina Mary Brannan
• Sean T Brannan, LMFT
• Jennie Brannen
• Margaret M. Brannigan, M.D.
• Perla Bransburg, M.A.
• Renee Branski, APCC
• Jessica Lee Branson-White
• Kelsi Branson
• Jacob C Brantley, DPT
• Logan Anne Brantley, LCSW

• Geriatric Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Geriatric Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.