Active NPI
James Michael Branch, DC
- Chiropractor
- Lake Charles, LA
National Provider Identifier
1992741334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 482
- Practice address
- 1200 Enterprise Blvd
Lake Charles, LA 70601 - Phone
- (337) 439-9313
- Fax
- (337) 439-8045
- NPI assigned
- Jun 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 482 | LA | Primary |
| Chiropractor | 111N00000X | 3017 | TX |
Addresses
Primary practice location
1200 Enterprise Blvd
Lake Charles, LA 70601
Mailing address
1200 Enterprise Blvd
Lake Charles, LA 70601
Phone (337) 439-9313
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0066715001 | Other | CIGNA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 482 | LA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992741334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 ENTERPRISE BLVD",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "70601",
"telephone_number": "337-439-9313",
"fax_number": "337-439-8045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 ENTERPRISE BLVD",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "70601",
"telephone_number": "337-439-9313",
"fax_number": "337-439-8045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANCH",
"first_name": "JAMES",
"middle_name": "MICHAEL",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "LA",
"license": "482",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "3017",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0066715001",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.