Matthew A Braniecki, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34011656 Issued in OH

Practice address

3960 E Harbor Rd
Port Clinton, OH 43452-2670

Phone

(419) 732-0700

Fax

(419) 732-0702

NPI assigned

Apr 13, 2012

Last updated

Aug 16, 2019By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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 1

Specialty

Family Practice

Education

Michigan State University College of Osteopathic Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Health Services of Erie CountyGroup PAC ID 0749345296, 25 clinicians

North Coast Professional Company, LLCGroup PAC ID 6305810201, 105 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ohioans Home Healthcare, Inc Home health agency, Perrysburg, OH, CCN 368247
• FRMC Home Health Services Home health agency, Sandusky, OH, CCN 367691
• Firelands Regional Medical Center Hospital, Sandusky, OH, CCN 360025
• Magruder Hospital Hospital, Port Clinton, OH, CCN 361314

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations (25 of 26)

Interoperability endpoints

• Direct secure messaging: matthew.braniecki@fpg.medicity.net

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.

• Family Health Services of Erie County

  • Federally Qualified Health Center (FQHC)
  • Sandusky, OH
  • NPI 1831343805

  Family Medicine

  Medicare reassignment Care Compare group NPD
• North Coast Professional Company, LLC

  • Internal Medicine Physician
  • Sandusky, OH
  • NPI 1881648210

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Family Health Services of Erie County

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Huron, OH
  • NPI 1902662349
  NPD
• North Coast Professional Company, LLC

  dba Firelands Physician Group

  • Rural Health Clinic/Center
  • Fremont, OH
  • NPI 1407393242
  NPD
• Family Health Services of Erie County

  • Federally Qualified Health Center (FQHC)
  • Sandusky, OH
  • NPI 1033937214
  NPD (past)
• Family Health Services of Erie County

  • Federally Qualified Health Center (FQHC)
  • Milan, OH
  • NPI 1124787122
  NPD (past)
• Family Health Services of Erie County

  • Federally Qualified Health Center (FQHC)
  • Sandusky, OH
  • NPI 1164060372
  NPD (past)
• Family Health Services of Erie County

  • Federally Qualified Health Center (FQHC)
  • Sandusky, OH
  • NPI 1184441081
  NPD (past)
• Family Health Services of Erie County

  • Federally Qualified Health Center (FQHC)
  • Huron, OH
  • NPI 1205692753
  NPD (past)
• Family Health Services of Erie County

  dba Family Health Services

  • Federally Qualified Health Center (FQHC)
  • Berlin Heights, OH
  • NPI 1235898321
  NPD (past)
• Family Health Services of Erie County

  • Federally Qualified Health Center (FQHC)
  • Sandusky, OH
  • NPI 1265959597
  NPD (past)
• Family Health Services of Erie County

  • Federally Qualified Health Center (FQHC)
  • Sandusky, OH
  • NPI 1306651237
  NPD (past)

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

• Firelands Regional Medical Center

  dba Firelands Regional Medical Center Home Health Services

  • Home Health Agency
  • Sandusky, OH
  • NPI 1134117849
  Care Compare affiliation
• Firelands Regional Medical Center

  dba Firelands Counseling & Recovery Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tiffin, OH
  • NPI 1154372381

  Hospital

  Care Compare affiliation
• Firelands Regional Medical Center

  • General Acute Care Hospital
  • Sandusky, OH
  • NPI 1285392936
  Care Compare affiliation
• Firelands Regional Medical Center

  dba Firelands Counseling & Recovery Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sandusky, OH
  • NPI 1629028600

  Hospital

  Care Compare affiliation
• Firelands Regional Medical Center

  • General Acute Care Hospital
  • Sandusky, OH
  • NPI 1801884655
  Care Compare affiliation
• Firelands Regional Medical Center

  dba Firelands Counseling & Recovery Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Norwalk, OH
  • NPI 1992756118

  Hospital

  Care Compare affiliation
• H.B. Magruder Memorial Hospital

  dba Magruder Hospital

  • Critical Access Hospital
  • Port Clinton, OH
  • NPI 1922079532
  Care Compare affiliation
• Ohioans Home Healthcare, Inc

  • Home Health Agency
  • Perrysburg, OH
  • NPI 1093836546
  Care Compare affiliation

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

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1992062012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 PIERCE ST",
            "address_2": "SUITE D",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448704669",
            "telephone_number": "419-557-5568",
            "fax_number": "419-557-5542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 E HARBOR RD",
            "city": "PORT CLINTON",
            "state": "OH",
            "postal_code": "434522670",
            "telephone_number": "419-732-0700",
            "fax_number": "419-732-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANIECKI",
        "first_name": "MATTHEW",
        "middle_name": "A",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-13",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34011656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0121443",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Brittani Bonanno
• Brideget N Urban DC LLC
• Katherine Brink, MA CCC-SLP
• Marshall Brink, ATC
• Ashley Marie Broshious
• Amber Dessarae Brown, FNP-C

• Family Medicine Physician in Port Clinton, OH
• Providers in Port Clinton, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.