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NPI Code Detail

MEDICARE: CHRISTOPHER O. BRANAM M.D.

MEDICARE: CHRISTOPHER O. BRANAM 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
1207Q00000XFamily Medicine Physician35-08-7214WV

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
8P00286536OTHERRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1001719574OTHERMOUNTAIN STATE BCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4000000476933OTHERANTHEM BCBS
51972557932OTHERNPI
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972557932
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER O. BRANAM M.D.
Provider Business Mailing Address
First Line : 1540 SPRING VALLEY DR
Second Line :
City : HUNTINGTON
State : WV
Zip : 25704-9501
Country : US
Telephone Number : 304-429-6741
Fax Number : 304-429-7522
Provider Business Practice Location Address
First Line : 1540 SPRING VALLEY DR
Second Line :
City : HUNTINGTON
State : WV
Zip : 25704-9501
Country : US
Telephone Number : 304-429-6741
Fax Number : 304-429-7522
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2006
Last Update Date : 11/21/2025

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