NPIMap

Individual provider Active NPI

Misty Quinn Branam, D.O.

  • Internal Medicine Physician
  • McAlester, OK
National Provider Identifier
1962660688
Registry record updated Apr 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4619 Issued in OK
Practice address
4 E Clark Bass Blvd
Suite 301
McAlester, OK 74501-4269
Phone
(918) 421-8966
Fax
(918) 421-8990
NPI assigned
May 29, 2008
Last updated
Apr 28, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4619 OK Primary

Addresses

Primary practice location

4 E Clark Bass Blvd
Suite 301
McAlester, OK 74501-4269

Mailing address

1 E Clark Bass Blvd
McAlester, OK 74501-4209
Phone (918) 421-8966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101021000998 OK Practitioner - Internal Medicine 8527251644 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1815 W 6TH Ave
Stillwater Med C Clinic W
Stillwater, OK 74074-2402
Phone (405) 743-7300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
4619OKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
McAlester Medical Services, LLC Internal Medicine CurrentSince Aug 1, 2015 Accepting new patients
McAlester Regional Health Center Authority CurrentSince Apr 27, 2021 Accepting new patients
Stillwater Medical Center Authority CurrentSince Jul 1, 2024 Accepting new patients
Stillwater Medical Center Authority Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
Stillwater Medical Center Authority Past Accepting new patients
Stillwater Medical Center Physicians Internal Medicine Past Accepting new patients
Summit Medical Center Past Accepting new patients
Heritage Hills Nursing Center Inc Past Accepting new patients

Locations

1 E Clark Bass Blvd
McAlester, OK 74501
Phone (918) 421-6941

1 E Clark Bass Blvd
Ste 210
McAlester, OK 74501
Phone (918) 421-6753

4 E Clark Bass Blvd
McAlester, OK 74501
Phone (918) 421-6700

4 E Clark Bass Blvd
Ste 301
McAlester, OK 74501
Phone (918) 421-6795

4 E Clark Bass Blvd
Ste 301C
McAlester, OK 74501
Phone (918) 421-8966

417 Fairview Ave
Ponca City, OK 74601
Phone (580) 762-3770

1815 W 6th Ave
Stillwater, OK 74074
Phone (405) 743-7300

Interoperability endpoints

  • Direct secure messaging: misty.branam.1@9147.direct.athenahealth.com
  • Direct secure messaging: misty.branam.p1@direct.smc.nextgenshare.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461801600000",
    "number": "1962660688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E CLARK BASS BLVD",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745014209",
            "telephone_number": "918-421-8966",
            "fax_number": "918-421-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 E CLARK BASS BLVD",
            "address_2": "SUITE 301",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745014269",
            "telephone_number": "918-421-8966",
            "fax_number": "918-421-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANAM",
        "first_name": "MISTY",
        "middle_name": "QUINN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-29",
        "last_updated": "2016-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "4619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAlester, OK

Sources for this page

Verify at the official NPI Registry.