PATRICK J. BRANNON, MD, LTD (NPI# 1790974095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790974095 |
| Entity Type | Organization |
| Organization Name | PATRICK J. BRANNON, MD, LTD |
| Practice Address |
725 Reservoir Ave Suite 204 Cranston RI 02910-4448 |
| Practice Telephone | 4019461810 |
| Practice Fax Number | 4019464364 |
| Mailing Telephone | 4019461810 |
| Mailing Fax Number | 4019464364 |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2007-10-23 |
| Authorized Official Name | DR. PATRICK JOSEPH BRANNON (PRESIDENT) |
| Authorized Official Telephone | 4019461810 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
RI5343 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | 9000518 | 05 |
| Street Address |
725 RESERVOIR AVE SUITE 204 |
| City | CRANSTON |
| State | RI |
| Zip Code | 02910-4448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386649523 | Gerald Marsocci | Surgery | 725 Reservoir Ave, Ste 202, Cranston, RI 02910-4451 | 2005-06-15 |
| 1609346741 | Debra Lee Furtado | Nurse Practitioner | 725 Reservoir Ave, Cranston, RI 02910-4448 | 2018-12-02 |
| 1831591056 | Stephanie Jean Maciel | Physical Therapist | 725 Reservoir Ave, Suite 101, Cranston, RI 02910-4448 | 2014-09-18 |
| 1275955718 | Family Health & Sports Medicine LLC | Internal Medicine | 725 Reservoir Ave, Cranston, RI 02910-4448 | 2014-01-17 |
| 1700139854 | Robert P Sarni Md Inc | Family Medicine | 725 Reservoir Ave, Suite 103, Cranston, RI 02910-4448 | 2012-10-25 |
| 1871889899 | University Neurology, Inc. | Specialist | 725 Reservoir Ave, Suite 308, Cranston, RI 02910-4448 | 2011-06-28 |
| 1417253782 | Nathalia Doobay | Podiatrist | 725 Reservoir Ave, Suite 101, Cranston, RI 02910-4448 | 2011-02-04 |
| 1255664181 | Maria Lee Mariorenzi | Physical Therapist | 725 Reservoir Ave, Suite 101, Cranston, RI 02910-4448 | 2009-09-10 |
| 1245466390 | Penny Kadmon,m.d., Inc | Pediatrics | 725 Reservoir Ave, Suite 306, Cranston, RI 02910-4448 | 2009-06-03 |
| 1164677019 | Urologic Specialists of New England, LLC | Urology | 725 Reservoir Ave, Suite 104, Cranston, RI 02910-4448 | 2008-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417443441 | Luis Guzman | Durable Medical Equipment & Medical Supplies | 29 Rolfe Square, Cranston, MA 02910 | 2018-07-02 |
| 1023535010 | Sarah Pagliarini | Nurse Practitioner | 725 Reservoir Ave Ste 308, Cranston, RI 02910 | 2017-08-29 |
| 1861890105 | Marissa Falco | Counselor | 1471 Elmwood Avenue, Cranston, RI 02910 | 2014-12-19 |
| 1952702425 | Lauren Beth Shibley | Counselor | 825 Pontiac Avenue Apt 14101, Cranston, RI 02910 | 2014-09-15 |
| 1831516632 | Kelly Kilmartin | Counselor | 471 Elmwood Avenue, Cranston, RI 02910 | 2014-03-19 |
| 1376784827 | Michael Eric Schaffer | Counselor | 989 Reservoir Ave Ste 104, Cranston, RI 02910 | 2009-03-13 |
| 1639384829 | Dolores Maiello Ciambrone | Social Worker | 145 Harmon Ave, Cranston, RI 02910 | 2007-05-11 |
| 1750502241 | Mary Jane Boucher | Counselor | Codac Cranston, 1052 Park Ave, Cranston, RI 02910 | 2007-05-01 |
| 1134250715 | Michele Bailey Chaudhry | Social Worker | 935 Reservoir Ave, Cranston, RI 02910 | 2007-03-08 |
| 1487703658 | Karen M Mega | Dentist | 567 Reservoir Ave, Cranston, RI 02910 | 2007-01-09 |
| Find all providers in zip 02910 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336381904 | Michael Wu | Internal Medicine | 950 Warren Ave Ste 201, East Providence, RI 02914-1432 | 2009-03-29 |
| 1902052558 | T.w. Tschirley Md Inc | Internal Medicine | 1524 Atwood Ave Ste 434, Johnston, RI 02919-3228 | 2008-08-14 |
| 1427210251 | John Rodriguez | Internal Medicine | 68 Cumberland St Ste 103, Woonsocket, RI 02895 | 2008-07-02 |
| 1689836371 | Katharine A. French | Internal Medicine | 950 Warren Ave Fl 2, East Providence, RI 02914-1432 | 2008-06-25 |
| 1265621460 | Gideon Koren | Internal Medicine | Rih, 1 Hoppin Street, Providence, RI 02903 | 2007-10-24 |
| 1134315567 | David B Pomfret | Internal Medicine | 20 Grey Gull Rd, Jamestown, RI 02835-2808 | 2007-09-19 |
| 1679792865 | Kenneth Baxter Nanian | Internal Medicine | 201 Tanglewood Dr, East Greenwich, RI 02818-2215 | 2007-04-25 |
| 1417085622 | Laboratorio Cardiovascular De P.r. | Internal Medicine | 391 Sargento Luis Medina Street, La Merced, San Juan, RI 00918 | 2007-03-01 |
| 1003921693 | Mario Tami | Internal Medicine | 1264 Smith St, Providence, RI 02908 | 2006-08-21 |
| 1205942646 | David J Fortunato | Internal Medicine | 75 S Union St, Unit 406, Pawtucket, RI 02860-3978 | 2006-08-21 |
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| 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.