Provider Demographics
NPI:1568415297
Name:BRANYON, DAVID W (MD)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:W
Last Name:BRANYON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 18TH ST SE
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28602-1364
Mailing Address - Country:US
Mailing Address - Phone:828-327-6633
Mailing Address - Fax:828-327-3385
Practice Address - Street 1:255 18TH ST SE
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602-1364
Practice Address - Country:US
Practice Address - Phone:828-327-6633
Practice Address - Fax:828-327-3385
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC220812084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCN/AOtherMHNET
NC1075FOtherBCBS OF NC ID #
NC94338OtherCIGNA ID #
NCA7834OtherMEDCOST ID #
NC8917864Medicaid
NCN/AOtherCBHA PROVIDER ID #
NC97105OtherUNITED BEHAVIORAL HEALTH
NCC75741Medicare UPIN
NC2140940DMedicare ID - Type UnspecifiedPROVIDER ID #