MEDICARE: KENT BRANSFORD M.D.

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	207RH0003X	Hematology & Oncology Physician	G45162	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	ZZZ13460Z	OTHER		MEDICARE GROUP#

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	00G451620	OTHER	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285680959
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENT BRANSFORD M.D.

Provider Business Mailing Address
First Line	:	5 HARRIS CT BLDG T
Second Line	:	2ND FLOOR # 201
City	:	MONTEREY
State	:	CA
Zip	:	93940-5750
Country	:	US
Telephone Number	:	831-375-4105
Fax Number	:	831-372-5722

Provider Business Practice Location Address
First Line	:	5 HARRIS CT BLDG T
Second Line	:	2ND FLOOR # 201
City	:	MONTEREY
State	:	CA
Zip	:	93940-5750
Country	:	US
Telephone Number	:	831-375-4105
Fax Number	:	831-372-5722

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

Provider Enumeration Date	:	05/25/2006
Last Update Date	:	01/15/2014

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Directions to “ KENT BRANSFORD M.D.” Practice Location

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