Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miranda Taylor Ivan Branstool, MD

Individual provider Anesthesiology Physician · NPI 1942837240

Miranda Taylor Ivan Branstool, MD is an Anesthesiology in Bellevue, Washington. Graduated from Toledo Medical College in 2020, 6 years ago. Practices with Matrix Anesthesia, Ps, a 87-clinician group and accepts Medicare assignment. Licensed in Ohio and Washington.

Years since qualifying
6
Trained at
Toledo Medical College
Licensed in
OH, WA
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1035 116th Ave NE
Bellevue, WA 98004-4604
Phone: (425) 455-2015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence MD61520802 (WA)
Anesthesiology Physician Taxonomy 207L00000X · Licence 57.249423 (OH)

Record details

NPI number1942837240
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 25, 2020
Last updated in NPPESSeptember 18, 2024
Certification dateSeptember 18, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolTOLEDO MEDICAL COLLEGE
Graduated 2020 (6 years in practice)
Group practice Matrix Anesthesia, Ps — 87 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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