Healthcare Provider Details

I. General information

NPI: 1912977000
Provider Name (Legal Business Name): BRANISLAV JOKIC M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2006
Last Update Date: 12/14/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 HIGHWAY 71 E
SMITHVILLE TX
78957-1730
US

IV. Provider business mailing address

1601 RIO GRANDE ST STE 340
AUSTIN TX
78701-1162
US

V. Phone/Fax

Practice location:
  • Phone: 512-237-5716
  • Fax: 512-237-5746
Mailing address:
  • Phone: 512-795-5500
  • Fax: 512-795-3502

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberL7765
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberL7765
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberL7765
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: