DR. ROGER JOSEPH BRANSON


Address: 12 Woodcreek Rd, Bethlehem, CT 06751-1705
Phone: 2032665021

DR. ROGER JOSEPH BRANSON (NPI# 1093071631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093071631
Entity Type Individual
Full Name DR. ROGER JOSEPH BRANSON
Credential M.D.
Practice Address 12 Woodcreek Rd
Bethlehem
CT 06751-1705
Practice Telephone 2032665021
Mailing Telephone 2032665021
Enumeration Date 2012-04-09
Last Update Date 2012-04-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice CT15003 CT Allopathic & Osteopathic Physicians

Office Location

Street Address 12 WOODCREEK RD
City BETHLEHEM
State CT
Zip Code 06751-1705

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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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Competitor

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City BETHLEHEM
Zip Code 06751

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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