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BRANSON NEPHROLOGY LLC
NPI 1427025212
Internal Medicine - Nephrology in Branson, MO

Active since March 01, 2006CLIA 26D1007104 · Microscopy
101 SKAGGS RD, SUITE 302, BRANSON, MO 65616(417) 334-8288(417) 334-6966 Get Directions Write a Review

NPPES record last updated: December 23, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Branson Nephrology Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRANSON NEPHROLOGY LLC (NPI 1427025212) is a healthcare organization registered as a nephrology in Branson, Missouri and active in the NPI registry since March 2006. The organization holds a CLIA Microscopy certificate valid through December 8, 2026 and lists John R Martinez, President, as its authorized official.

NPPES Registry Identity

NPI1427025212
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameBRANSON NEPHROLOGY LLC
Location Address101 SKAGGS RD, SUITE 302Branson, MO 65616-2075
Mailing AddressPo Box 429Branson, MO 65615-0429 · (417) 334-8288 · Fax (417) 334-6966
Phone(417) 334-8288
Fax(417) 334-6966
Organization SubpartNo
Authorized OfficialJohn R MartinezPresident · (417) 334-8288
Enumeration DateMarch 1, 2006
Last NPPES UpdateDecember 23, 2010
✔ NPI 1427025212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
101 SKAGGS RD, Branson, MO 65616
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Other Identifiers 8

Other170362MO · Blue Cross Missouri
Medicaid506052000MO
Medicaid1245268051AR
Medicare ID-Type Unspecified000013780MO · Mo Medicare
OtherCK7038MO · Railroad Medicare
Medicare ID-Type Unspecified5C851AR · Ark Medicare
Medicaid1154352417AR
Medicaid149154002AR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 26D1007104

Branson Nephrology LLC · Branson, MO
Active · expires Dec 8, 2026
CLIA Number26D1007104
Laboratory TypePhysician Office
Certificate Effective DateDecember 9, 2024
Certificate Expiration DateDecember 8, 2026
Laboratory DirectorJohn R. Martinez
Laboratory Phone(417) 334-8288
Laboratory LocationBranson Nephrology LLC101 Skaggs Road, Ste 302, Branson, MO 65616
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN RAY MARTINEZ M.D.
Internal Medicine (Nephrology)
101 SKAGGS RD, SUITE 302
BRANSON, MO 65616
Taney County (417) 334-8288
TANYA DIAN BOWDEN R.D.
Dietitian, Registered (Nutrition, Renal)
101 SKAGGS RD, SUITE 302
BRANSON, MO 65616
Taney County (417) 334-8288
DWIGHT PATRICK ZABEL M.D.
Internal Medicine (Nephrology)
101 SKAGGS RD, SUITE 302
BRANSON, MO 65616
Taney County (417) 334-8288
JAMES J CESAR DO
Clinic/Center
101 SKAGGS RD, SUITE 303
BRANSON, MO 65616
Taney County (417) 334-5171
SKAGGS COMMUNITY HOSPITAL ASSOCIATION
Internal Medicine
101 SKAGGS RD, STE 103
BRANSON, MO 65616
Taney County (417) 335-7792
PHYLLIS JOHNNA MANNA PA-C
Physician Assistant (Medical)
101 SKAGGS RD, SUITE 302
BRANSON, MO 65616
Taney County (417) 334-8288
KIMBERLY RENE MARTINEZ MD
Ophthalmology
101 SKAGGS RD, SUITE 302
BRANSON, MO 65616
Taney County (417) 334-8288
KAYLIN SUE HUNZICKER
Physician Assistant (Medical)
101 SKAGGS RD
BRANSON, MO 65616
Taney County (417) 269-5239

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Branson Nephrology LLC's NPI number?

The NPI number for Branson Nephrology LLC is 1427025212. It was assigned to this organization in the NPPES registry on March 1, 2006.

Where is Branson Nephrology LLC located?

Branson Nephrology LLC is located at 101 Skaggs Rd Suite 302, Branson, MO 65616. The listed phone number is (417) 334-8288.

What is Branson Nephrology LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Does Branson Nephrology LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 26D1007104) is associated with this NPI, valid through December 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Branson Nephrology LLC was last updated on December 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.