Individual provider Active NPI

Marcelo Castello Branco, MD

  • Clinical Cardiac Electrophysiology Physician
  • Pensacola, FL
National Provider Identifier
1972592715
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
ME56014 Issued in FL
Practice address
9400 University Pkwy Ste 306
Pensacola, FL 32514-5485
Phone
(850) 484-6500
NPI assigned
Oct 14, 2005
Last updated
Mar 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME56014 FL
Clinical Cardiac Electrophysiology Physician 207RC0001X ME56014 FL Primary

Addresses

Primary practice location

9400 University Pkwy Ste 306
Pensacola, FL 32514-5485

Mailing address

125 Baptist Way Ste 3a
Pensacola, FL 32503-2274
Phone (448) 227-6500

Other practice location 1

125 Baptist Way Ste 3A
Pensacola, FL 32503-2274
Phone (448) 227-6500

Other identifiers 7

IdentifierTypeStateIssuer
061495500MedicaidFL
009962410MedicaidAL
5452027OtherAETNA
2500239OtherUNITED HEALTHCARE
060065398OtherRAILROAD MEDICARE
09471OtherFLBCBS
59043189BRAOtherALBCBS OF ALABAMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101118000809 FL Practitioner - Cardiac ElectrophysiologyPractitioner - Other (Physician)Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9638365513 Reassigns benefits to 1 organization
I20220217000842 AL Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 9638365513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Medical Group LLCGroup PAC ID 9638215734, 258 clinicians

Practice addresses (Care Compare)

1121 Belleview Ave
Brewton, AL 36426-1500
Phone (850) 484-6500

1200 Henley LN
Baker, FL 32531-2702
Phone (850) 484-6500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.01 of 100Reported as group
Quality
62.34
Promoting interoperability
95
Improvement activities
40
Cost
78.51

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME56014FLMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Medical Group LLC CurrentSince Apr 1, 2021 Accepting new patients
Baptist Medical Group LLC CurrentSince Apr 1, 2021 Accepting new patients
Northwest Florida Heart Group PA Cardiovascular Disease PastSince Apr 30, 2003 Accepting new patients
Baptist Health Care, Inc PastSince Oct 22, 2023 Accepting new patients

Locations

401 S 8th Ave
Atmore, AL 36502
Phone (251) 368-2500

1121 Belleville Ave
Brewton, AL 36426
Phone (251) 809-3180

1200 Henley Ln
Baker, FL 32531
Phone (850) 537-8555

1118 Gulf Breeze Pkwy
Ste 102
Gulf Breeze, FL 32561
Phone (850) 932-1775

125 Baptist Way
Ste 3A
Pensacola, FL 32503
Phone (448) 227-6500

1717 N E St
Ste 331
Pensacola, FL 32501
Phone (850) 430-7081

9400 University Pkwy
Ste 409
Pensacola, FL 32514
Phone (850) 994-7256

Organizations & group practices 4

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": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1972592715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 BAPTIST WAY STE 3A",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032274",
            "telephone_number": "448-227-6500",
            "fax_number": "850-857-1747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 UNIVERSITY PKWY STE 306",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325145485",
            "telephone_number": "850-484-6500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Baptist Way Ste 3A",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325032274",
            "country_code": "US",
            "telephone_number": "448-227-6500",
            "fax_number": "850-857-1747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRANCO",
        "first_name": "MARCELO",
        "middle_name": "CASTELLO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME56014",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "FL",
            "license": "ME56014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "061495500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009962410",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5452027",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2500239",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060065398",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "09471",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "59043189BRA",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.