Brandy Jo Branham (NPI# 1043697972, PAC ID# 7113231382) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1043697972 |
PAC ID by PECOS | 7113231382 |
Professional Enrollment ID | I20150731015742 |
Full Name | Brandy Jo Branham |
Organization Legal Name | SOMC MEDICAL CARE FOUNDATION, INC. |
Address |
15888a Us 52 Hwy West Portsmouth OH 45663 |
Phone Number | 7408581732 |
Gender | F |
Medical School | UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE |
Graduation Year | 2014 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 9436061645 |
Number of Group Practice Members | 175 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
360008 | SOUTHERN OHIO MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
207 Plummers Ln, Vanceburg, KY 41179-7683 | 6067960010 | SOMC MEDICAL CARE FOUNDATION, INC. |
15888a Us 52 Hwy, West Portsmouth, OH 45663 | 7408581732 | SOMC MEDICAL CARE FOUNDATION, INC. |
Organization Legal Name | SOMC MEDICAL CARE FOUNDATION, INC. |
Physicians | 164 |
Name | Specialty | Organization | Address |
---|---|---|---|
Rahat S Azfar | Dermatology | Somc Medical Care Foundation, Inc. | 1735 27th St, Suite 308, Portsmouth, OH 45662-2679 |
Jonathan Ballard | Nurse Practitioner | Somc Medical Care Foundation, Inc. | 835 W Emmitt Ave, Waverly, OH 45690-1190 |
Natosha L Staggs | Nurse Practitioner | Somc Medical Care Foundation, Inc. | 90 Cic Blvd, West Union, OH 45693-8024 |
Christopher C Wiler | Nurse Practitioner | Somc Medical Care Foundation, Inc. | 952 State Route 2, Greenup, KY 41144-7999 |
Geoffrey V Martin | Radiation Oncology | Somc Medical Care Foundation, Inc. | 1121 Kinneys Ln, Portsmouth, OH 45662-2806 |
Nicholas Toppins | Nurse Practitioner | Somc Medical Care Foundation, Inc. | 835 Emmitt Ave, Waverly, OH 45690-1190 |
David K Byers | Infectious Disease | Somc Medical Care Foundation, Inc. | 1729 27th St, Portsmouth, OH 45662-2638 |
Paul D Rase | Nurse Practitioner | Somc Medical Care Foundation, Inc. | 8792 State Route 335, Minford, OH 45653-8698 |
Justin D Nolen | Nurse Practitioner | Somc Medical Care Foundation, Inc. | 10 Thomas Hollow Rd, Lucasville, OH 45648-8889 |
Suzann M Bonzo | Internal Medicine | Somc Medical Care Foundation, Inc. | 1611 27th St, Portsmouth, OH 45662-6931 |
Street Address |
15888A US 52 HWY |
City | WEST PORTSMOUTH |
State | OH |
Zip | 45663 |
Name | Specialty | Organization | Address |
---|---|---|---|
James H Duncan | Family Medicine | 22442 State Route 73, West Portsmouth, OH 45663-6365 |
City | WEST PORTSMOUTH |
Zip Code | 45663 |
Specialty | NURSE PRACTITIONER |
City + Specialty | WEST PORTSMOUTH + NURSE PRACTITIONER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.