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

Ted A. Branstetter, PA-C

Individual provider Surgical Physician Assistant · NPI 1588663835

Ted A. Branstetter, PA-C is a Physician Assistant in Flagstaff, Arizona. Qualified in 2002, 24 years ago. Practices with Virginia Mason Medical Center, a 867-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona and Washington.

Years since qualifying
24
Licensed in
AZ, WA
In the registry since
2005
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone: (928) 773-2332
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1201 S Miller St, Wenatchee, WA 98801-3201 — (509) 663-8711

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 10707 (AZ)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA10003588 (WA)
Physician Assistant Taxonomy 363A00000X · Licence PA10003588 (WA)

Record details

NPI number1588663835
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 19, 2005
Last updated in NPPESSeptember 16, 2025
Certification dateSeptember 16, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Virginia Mason Medical Center — 867 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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