KEVIN BRANSCUM (NPI# 1861892598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861892598 |
| Entity Type | Individual |
| Full Name | KEVIN BRANSCUM |
| Credential | DPT |
| Practice Address |
9089 Clairemont Mesa Blvd Ste 200 San Diego CA 92123-1225 |
| Mailing Address |
Po Box 682 Calico Rock AR 72519-0682 |
| Practice Telephone | 8703730606 |
| Mailing Telephone | 8703730606 |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2014-08-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
PT 40323 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT 40323 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
9089 CLAIREMONT MESA BLVD STE 200 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123-1225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679653059 | Nancy Smith Cox | Physical Therapist | 9089 Clairemont Mesa Blvd Ste 200, San Diego, CA 92123-1225 | 2006-10-17 |
| 1144721945 | Briana Whitney Fields | Physical Therapist | 9089 Clairemont Mesa Blvd Ste 200, San Diego, CA 92123-1225 | 2018-02-27 |
| 1487177655 | Valerie Washington | Radiology | 9089 Clairemont Mesa Blvd Ste 200, San Diego, CA 92123-1225 | 2017-07-19 |
| 1407386972 | Randy Giorgio Munguia | Recreation Therapist | 9089 Clairemont Mesa Blvd Ste 200, San Diego, CA 92123-1225 | 2017-06-15 |
| 1073049292 | Brittany Won | Occupational Therapist | 9089 Clairemont Mesa Blvd Ste 200, San Diego, CA 92123-1225 | 2017-05-09 |
| 1831548700 | Samuel David Gabrek | Physical Therapist | 9089 Clairemont Mesa Blvd Ste 200, San Diego, CA 92123-1225 | 2016-06-10 |
| 1831545664 | Janise Estrella Ojeda | Occupational Therapist | 9089 Clairemont Mesa Blvd Ste 200, San Diego, CA 92123-1225 | 2016-05-11 |
| 1023486412 | Tami Graham-hodge | Physical Therapy Assistant | 9089 Clairemont Mesa Blvd Ste 200, San Diego, CA 92123-1225 | 2015-09-02 |
| 1336520014 | Denise Klaren | Physical Therapy Assistant | 9089 Clairemont Mesa Blvd Ste 200, San Diego, CA 92123-1225 | 2015-06-17 |
| 1932592862 | Catherine Osullivan | Specialist | 9089 Clairemont Mesa Blvd Ste 200, San Diego, CA 92123-1225 | 2015-03-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087326 | Corina Lozano Manzo | Registered Nurse | 7436 Mission Center Road, San Diego, CA 92123 | 2020-09-10 |
| 1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
| 1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
| 1023667136 | Brittany Meyer | Physical Therapist | 3020 Children's Waymc5068, San Diego, CA 92123 | 2019-09-11 |
| 1598313272 | Ryan Edward Shaw | Marriage & Family Therapist | 8910 Clairmont Mesa Blvd, San Diego, CA 92123 | 2019-08-27 |
| 1528611910 | Tanisha C Fulcher | Marriage & Family Therapist | 8825 Aero Dr., Ste 315, San Diago, CA 92123 | 2019-07-24 |
| 1245795665 | Robin James Pekin | Marriage & Family Therapist | 4450 Kearny Villa Rd, #116, San Diego, CA 92123 | 2019-02-11 |
| 1174093728 | Karen Vences | Counselor | 8755 Aero Dr Suite 230, San Diego, CA 92123 | 2018-11-27 |
| 1255808465 | Natasha Herrera | Counselor | 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 | 2018-10-25 |
| 1407321987 | Maneka Elikewela | Behavior Technician | 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 | 2018-10-10 |
| Find all providers in zip 92123 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144767468 | George Justin Petersen | Physical Therapist | 3064 Fried Ave, San Diego, CA 92122-2235 | 2017-01-24 |
| 1164810586 | Maritess Kennedy | Physical Therapist | 16705 Prairie Fawn Ct, San Diego, CA 92127-3408 | 2015-01-07 |
| 1699117002 | Rogelio Bautista | Physical Therapist | 3703 Lindbergh St, San Diego, CA 92154-1654 | 2013-07-25 |
| 1588282594 | Chr Physical Therapy | Physical Therapist | 2694 Escala Cir, San Diego, CA 92108-6720 | 2020-07-07 |
| 1336677889 | Brian R White | Physical Therapist | 3760 Convoy St Ste 204, San Diego, CA 92111-3744 | 2017-05-29 |
| 1619338522 | Krista Hambley | Physical Therapist | 3760 Convoy St Ste 204, San Diego, CA 92111-3744 | 2016-03-19 |
| 1851765457 | Carrie Johnston | Physical Therapist | 13101 Hartfield Ave, San Diego, CA 92130-1511 | 2015-11-19 |
| 1326429374 | Rosebelle Sotto | Physical Therapist | 18655 W Bernardo Dr, San Diego, CA 92127-3002 | 2015-06-16 |
| 1881940708 | April Ann Hoffman | Physical Therapist | 3760 Convoy St Ste 204, San Diego, CA 92111-3744 | 2012-07-29 |
| 1437405420 | Lenda Earl | Physical Therapist | 3760 Convoy St, Suite 204, San Diego, CA 92111-3742 | 2012-07-27 |
| Find all providers in SAN DIEGO | ||||
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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.