Active NPIIndividual providerSole proprietor

Dr. Roger J Branson, MD

General Practice in Bethlehem, Connecticut

NPI Number1093071631
Practice location
12 Woodcreek RD, Bethlehem, CT 06751-1705
Fax
—
Last updated
April 9, 2012

Roger Joseph Branson is a General Practice based in Bethlehem, CT. Roger Joseph Branson practices in Bethlehem, CT and has the professional credentials of MD. The NPI Number for Roger Joseph Branson is 1093071631 and holds a License No. CT15003 (CT). The current practice location address for Roger Joseph Branson is 12 Woodcreek RD, Bethlehem, CT 06751-1705 and can be reached out via phone at 203-266-5021.

Provider Profile Details

NPI Number
1093071631
Provider Name
Roger Joseph Branson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
12 Woodcreek RD, Bethlehem, CT 06751-1705
Phone Number
203-266-5021
Primary Taxonomy
General Practice · 208D00000X
Sole Proprietor
Yes
Provider Enumeration Date
April 9, 2012
Last Update Date
April 9, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
12 Woodcreek RD
Bethlehem, CT 06751-1705
Zip
06751-1705
Phone Number
203-266-5021
Bethlehem, CT 06751Get directions →

Provider Business Mailing Address Details

Address
12 Woodcreek RD
Bethlehem, CT 06751-1705
City
Bethlehem
State
CT
Zip
06751-1705
Phone Number
203-266-5021

License Information

License Number
CT15003
License State
CT
Taxonomy
General Practice · 208D00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other General Practice providers near Bethlehem, CT

View all General Practice providers in Bethlehem →

Frequently Asked Questions

What is the NPI number of Dr. Roger J Branson, MD?

The NPI number of Dr. Roger J Branson, MD is 1093071631. It was assigned on April 9, 2012 and is currently active in the NPPES registry.

What is the specialty of Dr. Roger J Branson, MD?

Dr. Roger J Branson, MD is registered under the primary taxonomy General Practice (code 208D00000X), licensed in CT under license number CT15003.

Where does Dr. Roger J Branson, MD practice?

The practice location is 12 Woodcreek RD, Bethlehem, CT 06751-1705. The office can be reached at 203-266-5021 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093071631 directly on the NPPES registry website.

Browse related providers