GREGORY H BRANHAM, MD — NPI 1477571198 (Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology — Plastic Surgery within the Head & Neck in CREVE COEUR, MO)

CMS-1500 Box 24J / 33a • NPI

1477571198

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

207YX0007X (CMS 04)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology — Plastic Surgery within the Head & Neck

Box 32 Service Location & ZIP+4

1044 N MASON RD, DEPT OTOLARYNGOLOGY, STE L10, CREVE COEUR, MO, 63141-6431

✓ 9-Digit EDI 837 ZIP+4 (63141-6431)

Practice Phone & Referral Fax

(314) 996-3880

Fax: (314) 996-8610

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1477571198 (GREGORY H BRANHAM, MD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1477571198` (NPI-1 Individual Practitioner)
Provider / Legal Name	GREGORY H BRANHAM, MD
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology — Plastic Surgery within the Head & Neck NUCC Code: `207YX0007X` (Otolaryngology, Plastic Surgery within the Head & Neck)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1044 N MASON RD, DEPT OTOLARYNGOLOGY, STE L10, CREVE COEUR, MO, 63141-6431
Practice Telephone / Fax	Tel: (314) 996-3880 \| Fax: (314) 996-8610
Administrative Mailing Address	17065 FIRE GLOW DR, WILDWOOD, MO, 63011-5543
Enumeration & Last Sync	Enumerated: 2006-07-18 \| CMS Record Updated: 2026-06-19

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1044 N MASON RD, DEPT OTOLARYNGOLOGY, STE L10, CREVE COEUR, MO, 63141-6431

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Plain-English Taxonomy & CMS Crosswalk (207YX0007X)

What Does Taxonomy Code 207YX0007X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207YX0007X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology — Plastic Surgery within the Head & Neck"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 04 (Physician/Otolaryngology)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Otolaryngology, Plastic Surgery within the Head & Neck for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (GREGORY H BRANHAM, MD)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207YX0007X` — Otolaryngology, Plastic Surgery within the Head & Neck Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology — Plastic Surgery within the Head & Neck	State: MO \| License: `R4G73` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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GREGORY H BRANHAM, MD (NPI #1477571198)