Individual
MR. CASEY L BRANHAM
Active
Individual
MR. CASEY L BRANHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10003686
IN
363AM0700X
Medical Physician Assistant
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1102629959
BCBS
IN
01
—
1198036
NCCPA CERTIFICATION
IN
05
—
300066142
—
IN
05
—
7100839460
—
KY
Enumeration date
04/08/2022
Last updated
07/24/2026
Update your record
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