P Praxis·MD
● Active Type 1 · Individual

Gene D Branum, MD

Surgery·Ketchum, ID· NPI 1386640076 · Enumerated 2005 · 20 years on NPI
Branum is 1 of 4 surgery providers in Ketchum and 1 of 260 in Idaho.
NPI age
20 years
Enumerated 2005-06-27
Primary specialty
Surgery
Plus 1 subspecialty
Licensed in
ID, VA
2 states
Status
Active
No deactivations on record
Last NPPES update
2020-06-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 260 active surgery providers in Idaho.

NPI age
20 years
↑ 2 yr above median (18 yr)
State licenses
2 states
Top 71% — 28% of peers are multi-state
Subspecialties
0
37% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-06Enumerated in NPPES
2005 2026

Where they practice

Practice location
180 1st St W, #301
Ketchum, ID 83340
📞 2087263707
Mailing address
Po Box 3778
Ketchum, ID 833403721
📞 2087263707fax 2087264817

Additional practice locations

1 secondary location on file with NPPES.

Location 2
2006 Health Campus Dr
Harrisonburg, VA 228018679
📞 5406895800

Specialties

  • Surgery Primary
    A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
    ID license #M-13897VA license #0101230423 taxonomy 208600000X

Identifiers

TypeValueNotes
05 (ID) 1386640076
01 (ID) 1386640076 BLUE CROSS OF ID
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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