MR. HENRY J BRANER (NPI# 1497866248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497866248 |
| Entity Type | Individual |
| Full Name | MR. HENRY J BRANER |
| Credential | PHYSICIAN ASSISTANT |
| Practice Address |
16th Street Building 13514 Youth Challange Academy Ft Stewart GA 31315 |
| Mailing Address |
603 Pear Orchard Ln Statesboro GA 30458-6767 |
| Practice Telephone | 9122426542 |
| Practice Fax Number | 9127676445 |
| Mailing Telephone | 9124893938 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2016-03-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
001989 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 100000781A | 05 |
| Street Address |
16TH STREET BUILDING 13514 YOUTH CHALLANGE ACADEMY |
| City | FT STEWART |
| State | GA |
| Zip Code | 31315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588188791 | Nadia E Jeter | Social Worker | 140 Skyland Spruce Dr, Fort Stewart, GA 31315 | 2017-07-29 |
| 1740739358 | Graham Taylor | Physician Assistant | 8435 Vanguard Rd., Fort Stewart, GA 31315 | 2016-09-23 |
| 1205289865 | Glenda Ann Reed-withers | Dental Hygienist | 343 Warrior Road Building 2115, Fort Stewart, GA 31315 | 2016-07-19 |
| 1275940686 | Tarhonda Leah Ingram | Dentist | 112 Vilseck Road, Bldg. 419-2, Ft. Stewart, GA 31315 | 2014-07-17 |
| 1053668830 | Lee Joshua Martin | Dentist | 112 Vilseck Rd, Fort Stewart, GA 31315 | 2012-08-10 |
| 1215981352 | Harry Nick Bobotis | Dentist | 112 Vilseck Road, Bldg 419-2, Fort Stewart, GA 31315 | 2006-05-22 |
| 1033665393 | Christopher David Johnson | Specialist/Technologist, Other | 1061 Harmon Ave, Fort Stewart, GA 31315 | 2016-08-28 |
| 1760886410 | Juliann Roman | Emergency Medical Technician, Basic | 1061 Harmon Ave, Fort Stewart, GA 31315 | 2014-10-09 |
| 1760754485 | Angelica Cecilia Kjonnerod | Physician Assistant | 192 Lindquist Road, Bldg 412, Fort Stewart, GA 31315 | 2012-01-27 |
| 1932478047 | Sarah G Talone | Registered Nurse | 6 Red Bud Dr, Fort Stewart, GA 31315-1056 | 2011-12-19 |
| Find all providers in zip 31315 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417949082 | Piccina R Spence | Physician Assistant | 192 Lindquist Rd, Bld 412, Tfcmc, Ft Stewart, GA 31314-5122 | 2005-08-18 |
| 1992795439 | Jacqueline Kelly Caldwell | Physician Assistant | 1061 Harmon Ave, Attn: Tfcmc Suite 1do3, Ft Stewart, GA 31314-5604 | 2005-10-26 |
| 1801885025 | Daniel Sevilla | Physician Assistant | 1061 Harmon Ave, Ft Stewart, GA 31314-5604 | 2005-10-20 |
| 1164422853 | Dale Steven Sharp | Physician Assistant | 1061 Harmon Ave, Suite 1d03, Ft Stewart, GA 31314-5604 | 2005-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245838374 | Erica Elizabeth West | Physician Assistant | 1155 Mount Vernon Hwy Ste 101, Atlanta, GA 30338-5439 | 2020-10-12 |
| 1801402888 | Meredith Gaines | Physician Assistant | 603 W 1st St Unit 1, Rome, GA 30161-3067 | 2020-09-16 |
| 1770108805 | Kelsey Lynne Greeff | Physician Assistant | 3400 Old Milton Pkwy Ste C, Alpharetta, GA 30005-3707 | 2020-06-15 |
| 1518596733 | Rebecca Faye Tsyrlin | Physician Assistant | 2655 Dallas Hwy Sw Ste 340, Marietta, GA 30064-7518 | 2020-04-08 |
| 1487291878 | Ashley Cohen | Physician Assistant | 250 E Ponce De Leon Ave Ste 800, Decatur, GA 30030-3438 | 2019-12-04 |
| 1932757606 | Andrea J Holley | Physician Assistant | 1629 Austin Meadows Dr, Decatur, GA 30032-3888 | 2019-08-27 |
| 1265089759 | Alexis Chester Jones | Physician Assistant | 3000 Old Alabama Rd # 128, Johns Creek, GA 30022-5860 | 2019-08-20 |
| 1841851680 | Lauren Price Fogarty | Physician Assistant | 5445 Meridian Marks Rd Ste 430, Atlanta, GA 30342-4755 | 2019-06-24 |
| 1386208262 | Jessica A Drews | Physician Assistant | 2342 Cortez Way Ne, Brookhaven, GA 30319-3914 | 2019-04-26 |
| 1174187421 | Krisna Patel | Physician Assistant | 1805 Honey Creek Cmns Se Ste B, Conyers, GA 30013-5829 | 2019-04-23 |
| Find all providers with the same taxonomy | ||||
| City | FT STEWART |
| Zip Code | 31315 |
Please comment or provide details below to improve the information on MR. HENRY J BRANER.
| 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.