Active NPI
Traesa A. Brown, MD
- Family Medicine Physician
- Vandalia, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35148567
- Practice address
- 400 Corporate Center Dr
Vandalia, OH 45377-1164 - Phone
- (937) 454-5296
- NPI assigned
- Oct 5, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 32486 | SC | |
| Family Medicine Physician | 207Q00000X | 35148567 | OH | Primary |
Addresses
Primary practice location
400 Corporate Center Dr
Vandalia, OH 45377-1164
Mailing address
2912 Springboro W Ste 201
Moraine, OH 45439-1674
Phone (937) 297-8999
Other practice location 1
312 S McQueen St
Florence, SC 29501-4723
Phone (843) 799-2978
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
400 Corporate Ctr Dr
Vandalia, OH 45377-1164
Phone (937) 454-5296
Hospital & facility affiliations
- Kettering Health Dayton
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35148567 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Medical Group | Family Medicine | Current | Accepting new patients |
| Providence Medical Group, Inc. | Current | Accepting new patients | |
| Osh-Oh Physicians Group PC | Family Medicine | Current | Accepting new patients |
| Comprehensive Rehab Consultants PLLC | Past | Accepting new patients |
Locations
4271 W 3rd St
Dayton, OH 45417
Phone (937) 348-7001
2912 Springboro W
Ste 201
Moraine, OH 45439
Phone (937) 297-8996
400 Corporate Center Dr
Vandalia, OH 45377
Phone (937) 410-3838
Interoperability endpoints
- tbrown@sfm.direct.myupdox.com
- traesa.brown.1@237.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Dayton, OH
- NPI 1972533149
-
- Diagnostic Radiology Physician
- Moraine, OH
- NPI 1659726768
-
- Physical Medicine & Rehabilitation Physician
- Middle River, MD
- NPI 1710529771
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1053339507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770940800000",
"number": "1053407973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2912 SPRINGBORO W STE 201",
"city": "MORAINE",
"state": "OH",
"postal_code": "454391674",
"telephone_number": "937-297-8999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 CORPORATE CENTER DR",
"city": "VANDALIA",
"state": "OH",
"postal_code": "453771164",
"telephone_number": "937-454-5296"
}
],
"practiceLocations": [
{
"address_1": "312 S McQueen St",
"address_purpose": "LOCATION",
"city": "Florence",
"state": "SC",
"postal_code": "295014723",
"country_code": "US",
"telephone_number": "843-799-2978",
"fax_number": "843-799-2980",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "TRAESA",
"middle_name": "A.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2026-02-13",
"certification_date": "2026-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "32486",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35148567",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vandalia, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.