Provider Demographics
NPI:1912977000
Name:JOKIC, BRANISLAV (MD)
Entity Type:Individual
Prefix:DR
First Name:BRANISLAV
Middle Name:
Last Name:JOKIC
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 1:1601 RIO GRANDE ST STE 340
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78701-1162
Mailing Address - Country:US
Mailing Address - Phone:512-795-5500
Mailing Address - Fax:512-795-3502
Practice Address - Street 1:800 HIGHWAY 71 E
Practice Address - Street 2:
Practice Address - City:SMITHVILLE
Practice Address - State:TX
Practice Address - Zip Code:78957-1730
Practice Address - Country:US
Practice Address - Phone:512-237-5716
Practice Address - Fax:512-237-5746
Is Sole Proprietor?:No
Enumeration Date:2006-01-23
Last Update Date:2012-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL7765207P00000X, 207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8CV038OtherBCBS
TX179666603Medicaid
TX8CV038OtherBCBS
TXI47019Medicare UPIN
TXTXB131302Medicare PIN