Active NPI
Denis F Branson, MD
- Plastic and Reconstructive Surgery Physician
- Fayetteville, NY
National Provider Identifier
1902848047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 162343
- Practice address
- 7000 E Genesee St
Building E
Fayetteville, NY 13066-1131 - Phone
- (315) 446-8313
- Fax
- (315) 446-5387
- NPI assigned
- Jun 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 162343 | NY | |
| Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician | 2082S0099X | 162343 | NY | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 162343 | NY | Primary |
Addresses
Primary practice location
7000 E Genesee St
Building E
Fayetteville, NY 13066-1131
Mailing address
7000 E Genesee St
Building E
Fayetteville, NY 13066-1131
Phone (315) 446-8313
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 070001967 | Other | NY | PALMETTO GBA MEDICARE PR |
| 161288118 | Other | NY | TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294272000000",
"number": "1902848047",
"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": {
"last_name": "BRANSON",
"first_name": "DENIS",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2011-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "NY",
"license": "162343",
"primary": false
},
{
"code": "2082S0099X",
"taxonomy_group": "",
"desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
"state": "NY",
"license": "162343",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive 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": "TAX ID",
"identifier": "161288118",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, NY
Sources for this page
- 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.