Individual provider Active NPI

John A Brach, MD

  • Internal Medicine Physician
  • Buffalo, NY
National Provider Identifier
1992735344
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
165639-1 Issued in NY
Practice address
565 Abbott Rd
@ Mercy Hospital of Buffalo
Buffalo, NY 14220-2039
Phone
(716) 828-2434
Fax
(716) 828-3417
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 165639-1 NY Primary

Addresses

Primary practice location

565 Abbott Rd
@ Mercy Hospital of Buffalo
Buffalo, NY 14220-2039

Mailing address

11178 Jamison Rd
East Aurora, NY 14052-9635
Phone (716) 655-3846

Other identifiers 1

IdentifierTypeStateIssuer
01971851MedicaidNY

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

State licenses

LicenseStateTypeSpecialty
165639-1NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John a. Brach, MD, PC Internal Medicine Past Accepting new patients
Niagara Hospitalist, PC PastSince Apr 1, 2005 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Aurora Hospitalist, PC PastSince Nov 26, 2002 Accepting new patients
Endion Medical Services, PC Internal Medicine PastSince Oct 1, 2006 Accepting new patients
Endion Hospitalist of Western New York, PC Internal Medicine PastSince Jul 1, 2009 Accepting new patients
Buffalo Emergency Associates LLP Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
John a. Brach, MD, PC Internal Medicine Past Accepting new patients

Organizations & group practices 10

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

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1992735344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11178 JAMISON RD",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140529635",
            "telephone_number": "716-655-3846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 ABBOTT RD",
            "address_2": "@ MERCY HOSPITAL OF BUFFALO",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142202039",
            "telephone_number": "716-828-2434",
            "fax_number": "716-828-3417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACH",
        "first_name": "JOHN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "165639-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01971851",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.