Organization Active NPI

Ozark Mountain Ear Nose & Throat

  • Otolaryngology Physician
  • Branson, MO
National Provider Identifier
1902034218
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
2009001424 Issued in MO
Legal business name
OZARK MOUNTAIN EAR NOSE & THROAT
Practice address
186 S Payne Stewart Dr Ste 201
Branson, MO 65616-2732
Phone
(417) 335-3636
Fax
(417) 335-3626
NPI assigned
Jun 24, 2009
Last updated
Dec 3, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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

Authorized official

Name
Dr. James Travis Brawner, M.D.NPI 1598804825
Title
Sole Member of LLC
Phone
(417) 230-7874

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
Otolaryngology Physician 207Y00000X 2009001424 MO Primary

Addresses

Primary practice location

186 S Payne Stewart Dr Ste 201
Branson, MO 65616-2732

Mailing address

545 Branson Landing Blvd
Suite 410
Branson, MO 65616-4500
Phone (405) 209-8169

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090702000619 MO Part B Supplier - Clinic/Group Practice 7810048816 Receives reassigned benefits from 2 practitioners
Practice locations: Branson, MO

National Provider Directory

National Provider Directory

Locations

186 S Payne Stewart Dr
Ste 201
Branson, MO 65616
Phone (417) 335-3636

186 S Payne Stewart Dr
Ste B
Branson, MO 65616
Phone (417) 335-3636

525 Branson Landing Blvd
Ste 410
Branson, MO 65616
Phone (405) 209-8169

Practitioners & affiliated clinicians

Practitioners 3

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": "1245801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575331200000",
    "number": "1902034218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 BRANSON LANDING BLVD",
            "address_2": "SUITE 410",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656164500",
            "telephone_number": "405-209-8169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 S PAYNE STEWART DR STE 201",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656162732",
            "telephone_number": "417-335-3636",
            "fax_number": "417-335-3626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZARK MOUNTAIN EAR NOSE & THROAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-24",
        "last_updated": "2019-12-03",
        "status": "A",
        "authorized_official_last_name": "BRAWNER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "TRAVIS",
        "authorized_official_title_or_position": "SOLE MEMBER OF LLC",
        "authorized_official_telephone_number": "417-230-7874",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MO",
            "license": "2009001424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branson, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.