Individual provider Active NPI

Brandon Bolha, APRN-CNP

  • Family Nurse Practitioner
  • Athens, OH
National Provider Identifier
1073328407
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0038615 Issued in OH
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250805003437 OH Practitioner - Nurse Practitioner 6406364918 Reassigns benefits to 3 organizations

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.Group PAC ID 2769390236, shared by 3 NPIs, 12 clinicians

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

LicenseStateTypeSpecialty
APRN.CNP.0038615OHMDFamily Nurse Practitioner
114879WVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian Health and Wellness LLC CurrentSince Aug 20, 2025 Accepting new patients
Osup Community Outreach LLC CurrentSince Jul 1, 2025 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.