Gene Dale Branum (NPI# 1386640076, PAC ID# 4981783925) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1386640076 |
| PAC ID by PECOS | 4981783925 |
| Professional Enrollment ID | I20180209001975 |
| Full Name | Gene Dale Branum |
| Address |
180 W 1st St Suite 301 Ketchum ID 83340-0180 |
| Gender | M |
| Medical School | DUKE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | GENERAL SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 131323 | ST LUKE'S WOOD RIVER MEDICAL CENTER |
| 130002 | ST LUKES MAGIC VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 180 W 1st St, Suite 301, Ketchum, ID 83340-0180 |
| Street Address |
180 W 1ST ST SUITE 301 |
| City | KETCHUM |
| State | ID |
| Zip | 83340-0180 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sydney L Praeger | Physical Therapy | 180 W 1st St, Suite 101, Ketchum, ID 83340-9700 | |
| Ralph P Campanale Ii | General Surgery | 180 W 1st St, Suite 301, Ketchum, ID 83340-1111 | |
| Jill P Morse | Physical Therapy | 180 W 1st St, Ketchum, ID 83340-3653 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lindsey Marie Ketterling | Physical Therapy | Ieg Zenergy, LLC | 245 Raven Rd B, Ketchum, ID 83340 |
| Ricardo Delgado | Internal Medicine | St Lukes Clinic - Wood River LLC | 191 W 5th St, Slc Sun Valley Sports Medicine, Ketchum, ID 83340 |
| Thomas J West | Chiropractic | 128 Saddle Rd, Suite 100, Ketchum, ID 83340 | |
| Matthew E Kent | Optometry | 649 Sun Valley Rd, Ketchum, ID 83340 | |
| David A Mcclusky Ii | General Surgery | St Luke's Clinic LLC | 100 Hospital Dr, Suite 109, Ketchum, ID 83340 |
| Kelly P Teitzel | Certified Registered Nurse Anesthetist (crna) | St Lukes Clinic - Wood River LLC | 100 Hospital Dr, Suite 109, Ketchum, ID 83340 |
| Karoline A Droege | Physical Therapy | Ieg Zenergy, LLC | 245 Raven Rd B, Ketchum, ID 83340 |
| Colleen A Coyne | Physical Therapy | Ieg Zenergy, LLC | 245 Raven Rd B, Ketchum, ID 83340 |
| Kyle M Sela | Physical Therapy | Ieg Zenergy, LLC | 245 Raven Rd B, Ketchum, ID 83340 |
| Anthony Maisin Buoncristiani | Orthopedic Surgery | 100 Hospital Dr, Suite 107, Ketchum, ID 83340 | |
| Find all physicians in zip 83340 | |||
| City | KETCHUM |
| Zip Code | 83340 |
| Specialty | GENERAL SURGERY |
| City + Specialty | KETCHUM + GENERAL SURGERY |
Please comment or provide details below to improve the information on Gene Dale Branum.
| 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.