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NPI Code Detail

MEDICARE: GEORGE C BRANCHE M.D.

MEDICARE: GEORGE C BRANCHE 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
1174400000XSpecialist0101041029VA
2207XX0005XSports Medicine (Orthopaedic Surgery) Physician0101041029VA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
8200039700OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1212635OTHERMAMSI
2108242OTHERAMERIGROUP
32509-0024OTHERCAREFIRST ID#
44051008OTHERAETNA PPO
50013OTHERVACIGNA
60736883OTHERAETNA HMO
7053885OTHERVAANTHEM

General Provider Information

NPI Number : 1386613495
Entity Type Code : Individual
Provider Name (Legal Business Name) : GEORGE C BRANCHE M.D.
Provider Business Mailing Address
First Line : 2800 S SHIRLINGTON RD STE 1000
Second Line :
City : ARLINGTON
State : VA
Zip : 22206-3614
Country : US
Telephone Number : 703-769-8450
Fax Number : 703-271-9451
Provider Business Practice Location Address
First Line : 2800 S SHIRLINGTON RD STE 1100
Second Line :
City : ARLINGTON
State : VA
Zip : 22206-3605
Country : US
Telephone Number : 703-769-8450
Fax Number : 703-271-9451
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2006
Last Update Date : 03/24/2023

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Directions to “ GEORGE C BRANCHE M.D.” Practice Location

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