Active NPI
Brandon Bolha, APRN-CNP
- Family Nurse Practitioner
- Athens, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.0038615
- Practice address
- 90 Hospital Dr
Athens, OH 45701-2301 - Phone
- (740) 592-3091
- Fax
- (740) 774-6610
- NPI assigned
- Feb 12, 2025
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
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 Nurse Practitioner | 363LF0000X | 114879 | WV | |
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.0038615 | OH | Primary |
Addresses
Primary practice location
90 Hospital Dr
Athens, OH 45701-2301
Mailing address
PO Box 188
Chillicothe, OH 45601-0188
Phone (740) 773-4366
Other practice location 1
2520 Valley Dr
Point Pleasant, WV 25550-2031
Phone (304) 675-4340
Other practice location 2
1005 E State St Ste J
Athens, OH 45701-2151
Phone (740) 249-9276
Other practice location 3
1275 N High St
Hillsboro, OH 45133-8273
Phone (614) 393-6100
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Ohio University, College of Osteopathic Medicine, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pleasant Valley Hospital, Inc.
Practice addresses (Care Compare)
2520 Valley Dr
Point Pleasant, WV 25550-2031
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.0038615 | OH | MD | Family Nurse Practitioner |
| 114879 | WV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Appalachian Health and Wellness LLC | Current | Accepting new patients | |
| Osup Community Outreach LLC | Current | Accepting new patients |
Locations
1005 E State St
Athens, OH 45701
Phone (740) 249-9276
1005 E State St
Ste J
Athens, OH 45701
Phone (740) 249-9276
700 Ackerman Rd
Ste 2120
Columbus, OH 43202
1275 N High St
Hillsboro, OH 45133
Phone (937) 393-5503
6100 N Hamilton Rd
Westerville, OH 43081
Phone (614) 814-8100
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Appalachian Health of Ohio
- Clinic/Center
- Athens, OH
- NPI 1194526681
-
- Neurology Physician
- Dublin, OH
- NPI 1699179929
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Athens, OH
- NPI 1699010348
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Logan, OH
- NPI 1295840007
-
dba Rivers Health
- General Acute Care Hospital
- PT Pleasant, WV
- NPI 1598975120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1073328407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 188",
"city": "CHILLICOTHE",
"state": "OH",
"postal_code": "456010188",
"telephone_number": "740-773-4366",
"fax_number": "740-773-4426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 HOSPITAL DR",
"city": "ATHENS",
"state": "OH",
"postal_code": "457012301",
"telephone_number": "740-592-3091",
"fax_number": "740-774-6610"
}
],
"practiceLocations": [
{
"address_1": "2520 Valley Dr",
"address_purpose": "LOCATION",
"city": "Point Pleasant",
"state": "WV",
"postal_code": "255502031",
"country_code": "US",
"telephone_number": "304-675-4340",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1005 E State St Ste J",
"address_purpose": "LOCATION",
"city": "Athens",
"state": "OH",
"postal_code": "457012151",
"country_code": "US",
"telephone_number": "740-249-9276",
"fax_number": "800-578-3151",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1275 N High St",
"address_purpose": "LOCATION",
"city": "Hillsboro",
"state": "OH",
"postal_code": "451338273",
"country_code": "US",
"telephone_number": "614-393-6100",
"fax_number": "614-293-2809",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOLHA",
"first_name": "BRANDON",
"credential": "APRN-CNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-02-12",
"last_updated": "2026-07-13",
"certification_date": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WV",
"license": "114879",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.0038615",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1068.1",
"affiliationName": "Cobius Healthcare Solutions",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS edMD eMDR",
"address_1": "2720 Dundee Rd # 302",
"city": "Northbrook",
"state": "IL",
"country_code": "US",
"postal_code": "600622609",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Athens, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.