Individual provider Active NPI

Brandy Branham, NP-C

  • Nurse Practitioner
  • West Portsmouth, OH
National Provider Identifier
1043697972
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.17228 Issued in OH
Practice address
15888A US Highway 52
West Portsmouth, OH 45663-7503
Phone
(740) 858-1732
Fax
(740) 858-1735
NPI assigned
Apr 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.17228 OH Primary

Addresses

Primary practice location

15888A US Highway 52
West Portsmouth, OH 45663-7503

Mailing address

1735 27TH St Ste B06
Portsmouth, OH 45662-2681
Phone (740) 356-8681

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address brandy.branham@somc.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150731015742 OH Practitioner - Nurse Practitioner 7113231382 Reassigns benefits to 1 organization
I20170411002603 KY Practitioner - Nurse Practitioner 7113231382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Somc Medical Care Foundation, Inc.Group PAC ID 9436061645, 388 clinicians

Practice addresses (Care Compare)

15888A US 52 Hwy
West Portsmouth, OH 45663
Phone (740) 858-1732

207 Plummers LN
Vanceburg, KY 41179-7683
Phone (606) 796-0010

Hospital & facility affiliations

  • Southern Ohio Medical Center Hospital, Portsmouth, OH, CCN 360008

Merit-based Incentive Payment System (MIPS)

Final score
82.59 of 100Reported as group
Quality
59.57
Promoting interoperability
100
Improvement activities
40
Cost
71.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.17228OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph E Valli, D.C., Inc CurrentSince Jul 1, 2015 Accepting new patients
Somc Medical Care Foundation, Inc. Current Accepting new patients
Somc Medical Care Foundation, Inc. CurrentSince Mar 13, 2017 Accepting new patients
Somc Medical Care Foundation, Inc. Nurse Practitioner CurrentSince Mar 13, 2017 Accepting new patients
George E. Esham, M.D. Inc. Past Accepting new patients

Locations

207 Plummers Ln
Vanceburg, KY 41179
Phone (606) 796-0010

1735 27th St
Ste 102
Portsmouth, OH 45662
Phone (740) 353-7881

1735 27th St
Ste B06
Portsmouth, OH 45662
Phone (740) 356-7942

1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000

1420 Chillicothe St
Portsmouth, OH 45662
Phone (740) 354-8824

1735 27th St
Portsmouth, OH 45662
Phone (740) 351-0980

15888A US Highway 52
West Portsmouth, OH 45663
Phone (740) 858-1732

Interoperability endpoints

  • Direct secure messaging: branhamb@somc.gwaydirect.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1043697972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 27TH ST STE B06",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456622681",
            "telephone_number": "740-356-8681",
            "fax_number": "740-353-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15888A US HIGHWAY 52",
            "city": "WEST PORTSMOUTH",
            "state": "OH",
            "postal_code": "456637503",
            "telephone_number": "740-858-1732",
            "fax_number": "740-858-1735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANHAM",
        "first_name": "BRANDY",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-29",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.17228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brandy.branham@somc.medicity.net",
            "affiliation": "N",
            "address_1": "15888A US Highway 52",
            "city": "West Portsmouth",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456637503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Portsmouth, OH

Sources for this page

Verify at the official NPI Registry.