Provider Demographics
NPI:1518462712
Name:BRANSTON, MEGHAN MARGUERITE (DO)
Entity Type:Individual
Prefix:DR
First Name:MEGHAN
Middle Name:MARGUERITE
Last Name:BRANSTON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 INVERNESS DR W
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80112-5065
Mailing Address - Country:US
Mailing Address - Phone:303-265-3390
Mailing Address - Fax:720-516-0237
Practice Address - Street 1:175 INVERNESS DR W
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80112-5065
Practice Address - Country:US
Practice Address - Phone:303-265-3390
Practice Address - Fax:720-516-0237
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-28
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A178852084N0400X
CODR.00702582084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology