Brandie Valencia-Moore Girmann, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50.002863 Issued in OH

Practice address

235 Industrial Dr
Franklin, OH 45005-4429

Phone

(937) 743-9474

Fax

(937) 743-9475

NPI assigned

Jun 14, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Brandie Valencia Moore Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375056000000",
    "number": "1124313549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 INDUSTRIAL DR",
            "city": "FRANKLIN",
            "state": "OH",
            "postal_code": "450054429",
            "telephone_number": "937-743-9474",
            "fax_number": "937-743-9475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 INDUSTRIAL DR",
            "city": "FRANKLIN",
            "state": "OH",
            "postal_code": "450054429",
            "telephone_number": "937-743-9474",
            "fax_number": "937-743-9475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRMANN",
        "first_name": "BRANDIE",
        "middle_name": "VALENCIA-MOORE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-14",
        "last_updated": "2013-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.002863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDIE",
            "last_name": "MOORE",
            "middle_name": "VALENCIA",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anthony Clifford Fyffe-Wooten, BSN, RN
• Gary D. Stanforth,LTD.,MSW.,Lisw.,Licdc
• Amee Jo Gasser, PHARMD
• Ginger Ann Gentry, LMT
• Tracy Gilchrist
• Sheri Gladish, MD
• Jonnita Green, DDS
• Janice Teresa Grieshop
• Thomas Grieshop
• Chalana Umayanganee Gunawardena, MD

• Physician Assistant in Franklin, OH
• Providers in Franklin, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.