# BRANSON CLINIC, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740255090
- **Authorized official:** DARREN ALLISON (CEO)
- **Authorized official phone:** (417) 239-0125

## Contact information

- **Practice address:** 110 BUSINESS PARK DR STE A, BRANSON, MO 65616-7451
- **Practice address phone:** (417) 239-0125
- **Practice address fax:** (417) 239-0127
- **Mailing address:** 110 BUSINESS PARK DR STE A, BRANSON, MO 65616-7451
- **Mailing address phone:** (417) 239-0125
- **Mailing address fax:** (417) 239-0127

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/21/2006
- **Last updated:** 12/05/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 198478 | BLUE CROSS - ANTHEM | MO |
| 05 | — | 507300903 | — | MO |