NPIMap

Individual provider Active NPI

Daniel Lee Branzburg, FNP-C

  • Family Nurse Practitioner
  • Wellsboro, PA
National Provider Identifier
1992416267
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP026995 Issued in PA
Practice address
7 Water St
Wellsboro, PA 16901-1126
Phone
(570) 724-1010
NPI assigned
Dec 7, 2022
Last updated
Feb 15, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP026995 PA Primary
General Practice Registered Nurse 163WG0000X RN654261 PA

Addresses

Primary practice location

7 Water St
Wellsboro, PA 16901-1126

Mailing address

45 Mud Creek Rd
Troy, PA 16947-9529
Phone (570) 297-3746

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20230314000827 PA Practitioner - Nurse Practitioner 2860866944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

45 Mud Creek Rd
Troy, PA 16947-9529
Phone (570) 297-3746

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN654261PAMDGeneral Practice Registered Nurse
SP026995PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Penn Comprehensive Health Services CurrentSince Mar 27, 2023 Accepting new patients
North Penn Comprehensive Health Services CurrentSince Mar 27, 2023 Accepting new patients
North Penn Comprehensive Health Services Current Accepting new patients
North Penn Comprehensive Health Services Past Accepting new patients

Locations

40 W Wellsboro St
Mansfield, PA 16933
Phone (570) 662-1945

410 Main St
Ste 102
Towanda, PA 18848
Phone (570) 266-5882

45 Mud Creek Rd
Troy, PA 16947
Phone (570) 297-3746

7 Water St
Wellsboro, PA 16901
Phone (570) 724-1010

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 7

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": "1670371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1992416267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 MUD CREEK RD",
            "city": "TROY",
            "state": "PA",
            "postal_code": "169479529",
            "telephone_number": "570-297-3746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 WATER ST",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169011126",
            "telephone_number": "570-724-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANZBURG",
        "first_name": "DANIEL",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-07",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP026995",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "PA",
            "license": "RN654261",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellsboro, PA

Sources for this page

Verify at the official NPI Registry.