MEDICARE: MR. ADAM BRANCH APRN, FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	AP130247	TX
2	363LF0000X	Family Nurse Practitioner	AP130247	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942601497
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ADAM BRANCH APRN, FNP-C

Provider Business Mailing Address
First Line	:	8435 WURZBACH RD STE 302
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-3374
Country	:	US
Telephone Number	:	210-899-6730
Fax Number	:	833-776-0625

Provider Business Practice Location Address
First Line	:	2105 SIDNEY BAKER ST STE 200
Second Line	:
City	:	KERRVILLE
State	:	TX
Zip	:	78028-2563
Country	:	US
Telephone Number	:	210-899-6730
Fax Number	:	833-776-0625

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/15/2014
Last Update Date	:	11/03/2025

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